Dr. Alfred J. Iezzi Jr. PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MD1211 Issued in NJ

Legal business name

DR. ALFRED J. IEZZI JR. PC

Practice address

3101 Sunset Ave
Longport, NJ 08403-1436

Phone

(609) 335-8275

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alfred J Iezzi, DPMNPI 1679643340

Title

Owner

Phone

(609) 335-8275

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alfred J Iezzi Jr., DPM

  • Foot Surgery Podiatrist
  • Atlantic City, NJ
  • NPI 1679643340

  PA

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154481232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SUNSET AVE",
            "city": "LONGPORT",
            "state": "NJ",
            "postal_code": "084031436",
            "telephone_number": "609-335-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SUNSET AVE",
            "city": "LONGPORT",
            "state": "NJ",
            "postal_code": "084031436",
            "telephone_number": "609-335-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALFRED J. IEZZI JR. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IEZZI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-335-8275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD1211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MED LIC",
            "identifier": "MD1211",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2263009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalie Marie Albergo, RP
• Nicole Dowell, OT
• Kimberly D Hart, LSW, LCADC
• Diane Jannotta, CRNFA
• Naz Group of New Jersey LLC
• Quality Surgical Assisting Limited Liability Company (Diane Jannotta)
• Concetta Marie Renkun, M.D.

• Foot & Ankle Surgery Podiatrist in Longport, NJ
• Providers in Longport, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.