Comprehensive Foot & Ankle Center of South Jersey LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00274600 Issued in NJ

Legal business name

COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC

Practice address

277 White Horse Pike
Suite 101
Atco, NJ 08004

Phone

(856) 768-7850

Fax

(856) 768-7853

NPI assigned

Feb 6, 2007

Last updated

Dec 31, 2012By 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. Elena Kathleen Wellens, D.P.M.

Title

Owner

Phone

(856) 768-7850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1215076237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8893",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080128893",
            "telephone_number": "856-768-7850",
            "fax_number": "856-768-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 WHITE HORSE PIKE",
            "address_2": "SUITE 101",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "08004",
            "telephone_number": "856-768-7850",
            "fax_number": "856-768-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "WELLENS",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-768-7850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00274600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda L Brooks, MPT
• Harriet Burton-Wilson
• Robert Cavallaro, DC
• Tonette Clark
• Joseph Clements, D.O.
• Carissa Nicole Court
• Ayla D'Ambrosio
• Asia Davy
• Daybreak Treatment Care
• Tracy Decristofaro, DPT

• Foot & Ankle Surgery Podiatrist in Atco, NJ
• Providers in Atco, 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 Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.