South Jersey Foot and Ankle Specialists LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00312000 Issued in NJ

Legal business name

SOUTH JERSEY FOOT AND ANKLE SPECIALISTS LLC

Practice address

525 State St Ste 5
Elmer, NJ 08318-2164

Phone

(856) 839-0579

Fax

(877) 246-2949

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Jeffrey Michael Belancio, DPMNPI 1639443492

Title

Podiatrist

Phone

(856) 839-0579

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

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.

• Jeffrey Michael Belancio, DPM

  • Podiatrist
  • Elmer, NJ
  • NPI 1639443492
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1225498355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 STATE ST STE 5",
            "city": "ELMER",
            "state": "NJ",
            "postal_code": "083182164",
            "telephone_number": "609-352-4477",
            "fax_number": "877-246-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 STATE ST STE 5",
            "city": "ELMER",
            "state": "NJ",
            "postal_code": "083182164",
            "telephone_number": "856-839-0579",
            "fax_number": "877-246-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY FOOT AND ANKLE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "BELANCIO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "856-839-0579",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00312000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen M Shields, C.N.M
• James Alan Shimp, MPT
• Francis J Sieber, O.D.
• Sleepcare Centers, Inc.
• Monika K Soni, MD
• South Jersey Health System Emergency Physician Services P a
• Breanna Suppi
• Patricia Jann Thomas, D.O.
• Daniel S Timmerman, DO
• Gerard Ventrella, M.D.

• Foot & Ankle Surgery Podiatrist in Elmer, NJ
• Providers in Elmer, 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 Sep 23, 2026; 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.