Organization Active NPI

Ankle & Foot Institute PC

  • Orthopaedic Foot and Ankle Surgery Physician
  • Maywood, NJ
National Provider Identifier
1154877678
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
25MA05990000 Issued in NJ
Legal business name
ANKLE & FOOT INSTITUTE PC
Practice address
113 W Essex St
Suite 203
Maywood, NJ 07607-1023
Phone
(201) 880-6790
Fax
(201) 880-6792
NPI assigned
Aug 26, 2016
Last updated
Aug 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Dr. Wayne S Barberian, MD
Title
President
Phone
(201) 880-6790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 25MA05990000 NJ Primary

Addresses

Primary practice location

113 W Essex St
Suite 203
Maywood, NJ 07607-1023

Mailing address

113 W Essex St
Suite 203
Maywood, NJ 07607-1023
Phone (201) 880-6790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161228001516 NJ Part B Supplier - Clinic/Group Practice 5799066098 Receives reassigned benefits from 1 practitioner
Practice locations: Hackensack, NJ; Maywood, NJ

National Provider Directory

National Provider Directory

Locations

113 W Essex St
Ste 203
Maywood, NJ 07607
Phone (201) 880-6790

113 W Essex St
Ste Ll
Maywood, NJ 07607
Phone (201) 291-9100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1154877678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST",
            "address_2": "SUITE 203",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071023",
            "telephone_number": "201-880-6790",
            "fax_number": "201-880-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST",
            "address_2": "SUITE 203",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071023",
            "telephone_number": "201-880-6790",
            "fax_number": "201-880-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE & FOOT INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "BARBERIAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-880-6790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NJ",
            "license": "25MA05990000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.