Reconstructive Foot and Ankle Surgical Associates PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00234800 Issued in NJ

Legal business name

RECONSTRUCTIVE FOOT AND ANKLE SURGICAL ASSOCIATES PC

Practice address

1600 High St N
Millville, NJ 08332-1922

Phone

(856) 825-9009

Fax

(856) 825-4766

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose R Ruiz, DPMNPI 1497798334

Title

Physician

Phone

(856) 825-9009

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose R Ruiz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Millville, NJ
  • NPI 1497798334
  Medicare reassignment NPD Authorized official
• Michael Ernesto Calderone, DPM

  • Foot & Ankle Surgery Podiatrist
  • Millville, NJ
  • NPI 1376907071
  Medicare reassignment NPD
• Irving Gary Sherman, DPM

  • Podiatrist
  • Millersville, MD
  • NPI 1447245329
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1174559215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DORAL DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080125424",
            "telephone_number": "856-232-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HIGH ST N",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321922",
            "telephone_number": "856-825-9009",
            "fax_number": "856-825-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONSTRUCTIVE FOOT AND ANKLE SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-825-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00234800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0479397000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000536893",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7446802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Millville, NJ
• Providers in Millville, 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 Jan 10, 2017; 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.