NPIMap

Organization Active NPI

Nova Foot and Ankle

  • Podiatric Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1215602651
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
NOVA FOOT AND ANKLE
Doing business as
Nova Foot and Ankle
Practice address
3200 Frankford Ave FL 3
Philadelphia, PA 19134-3217
Phone
(267) 761-9780
Fax
(267) 761-9781
NPI assigned
Aug 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Elizabeth Luong, DPMNPI 1760688063
Title
Owner
Phone
(267) 761-9780

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
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

3200 Frankford Ave FL 3
Philadelphia, PA 19134-3217

Mailing address

3200 Frankford Ave FL 3
Philadelphia, PA 19134-3217
Phone (267) 761-9780

Other identifiers 1

IdentifierTypeStateIssuer
1760688063MedicaidPA

Other names 1

  • Nova Foot and Ankle Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PHILADELPHIA Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Nova Foot and Ankle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1215602651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 FRANKFORD AVE FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343217",
            "telephone_number": "267-761-9780",
            "fax_number": "267-761-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 FRANKFORD AVE FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343217",
            "telephone_number": "267-761-9780",
            "fax_number": "267-761-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-761-9780",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760688063",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PHILADELPHIA",
            "affiliation": "N",
            "endpointDescription": "3200 Frankford Avenue 3 FL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Podiatry",
            "address_1": "3200 Frankford Ave Fl 3",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191343217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nova Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.