Organization Active NPI

Foot and Ankle Center LLC

  • Podiatric Clinic/Center
  • Egg Harbor Township, NJ
National Provider Identifier
1235375528
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
25MD00297800 Issued in NJ
Legal business name
FOOT AND ANKLE CENTER LLC
Practice address
3069 English Creek Ave
Suite 201
Egg Harbor Township, NJ 08234-9708
Phone
(609) 272-1450
Fax
(609) 272-1445
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Irina A Tsyganova, DPMNPI 1841448578
Title
Podiatrist
Phone
(609) 272-1450

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 25MD00297800 NJ Primary

Addresses

Primary practice location

3069 English Creek Ave
Suite 201
Egg Harbor Township, NJ 08234-9708

Mailing address

3069 English Creek Ave
Suite 201
Egg Harbor Township, NJ 08234-9708
Phone (609) 272-1450

Other identifiers 1

IdentifierTypeStateIssuer
149173OtherNJMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090428000062 NJ Part B Supplier - Clinic/Group Practice 3971651175 Receives reassigned benefits from 5 practitioners
Practice locations: Egg Harbor Township, NJ
O20100930046518 NJ DME Supplier - Physician - PodiatryDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 3971651175 Practice locations: Egg Harbor TWP, NJ

National Provider Directory

National Provider Directory

Locations

3003 English Creek Ave
Ste 5
Egg Harbor Township, NJ 08234

3003 English Creek Ave
Ste C5
Egg Hbr Twp, NJ 08234
Phone (609) 272-1450

Practitioners & affiliated clinicians

Practitioners 5

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": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1235375528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE",
            "address_2": "SUITE 201",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-272-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE",
            "address_2": "SUITE 201",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-272-1450",
            "fax_number": "609-272-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "TSYGANOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "609-272-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NJ",
            "license": "25MD00297800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "149173",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.