Organization Active NPI

Oxford Foot and Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • East Orange, NJ
National Provider Identifier
1154957363
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OXFORD FOOT AND ANKLE SPECIALISTS
Practice address
310 Central Ave Ste 102
East Orange, NJ 07018-2838
Phone
(973) 207-1678
Fax
(732) 862-1242
NPI assigned
Mar 19, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Dr. Samuel Babatunde Adegboyega, DPMNPI 1124281233
Title
Owner
Phone
(973) 207-1678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

310 Central Ave Ste 102
East Orange, NJ 07018-2838

Mailing address

83 Aberdeen Rd
Matawan, NJ 07747-2720
Phone (973) 207-1678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201000677 NJ Part B Supplier - Clinic/Group Practice 3173934999 Receives reassigned benefits from 1 practitioner
Practice locations: East Orange, NJ

National Provider Directory

National Provider Directory

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": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1154957363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ABERDEEN RD",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472720",
            "telephone_number": "973-207-1678",
            "fax_number": "732-862-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVE STE 102",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182838",
            "telephone_number": "973-207-1678",
            "fax_number": "732-862-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "ADEGBOYEGA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "BABATUNDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-207-1678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.