Allstar Foot & Ankle LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00278000 Issued in NJ

Legal business name

ALLSTAR FOOT & ANKLE LLC

Practice address

9001 Lincoln Dr W Ste G
Marlton, NJ 08053-3202

Phone

(856) 983-0900

Fax

(856) 983-0905

NPI assigned

Aug 30, 2007

Last updated

Jan 10, 2008By 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. Rudolf Zak, DPM

Title

Owner/Manager

Phone

(856) 983-0900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1245424407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 LINCOLN DR W STE G",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533202",
            "telephone_number": "856-983-0900",
            "fax_number": "856-983-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 LINCOLN DR W STE G",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533202",
            "telephone_number": "856-983-0900",
            "fax_number": "856-983-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTAR FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "ZAK",
        "authorized_official_first_name": "RUDOLF",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "856-983-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00278000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100951",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Marlton, NJ
• Providers in Marlton, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.