Innovative Foot and Ankle, P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

INNOVATIVE FOOT AND ANKLE, P.A.

Doing business as

Innovative Foot and Ankle

Practice address

274 Main St
Little Ferry, NJ 07643-1346

Phone

(201) 440-9444

NPI assigned

Jun 18, 2017

Last updated

Sep 11, 2023By 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

Sean L. Kaufman, DPMNPI 1821091018

Title

Owner/Provider

Phone

(908) 276-6624

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Innovative Foot and Ankle Doing business as

Practitioners 4

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.

• Sean L. Kaufman, D.P.M

  • Primary Podiatric Medicine Podiatrist
  • Kenilworth, NJ
  • NPI 1821091018
  Authorized official Same address or phone
• Ashley Theresa Bittar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Little Ferry, NJ
  • NPI 1700239506

  Single Specialty

  NPD (past)
• Aqsa Siddiqui, DPM

  • Foot & Ankle Surgery Podiatrist
  • Carteret, NJ
  • NPI 1619350691
  NPD (past)
• Walter Francis Witowski, DPM

  • Podiatrist
  • Little Ferry, NJ
  • NPI 1538171210
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1245760701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 BOULEVARD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MAIN ST",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431346",
            "telephone_number": "201-440-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE FOOT AND ANKLE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "908-276-6624",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8719501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innovative Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fjona Fundo, MD
• Ilia Gerassimov, LMT
• Jamie Melanie Pabon Giabia, PT
• Claudine Jeannette Green, LPN
• Omar Gurban, NP-C
• Jay Shree Krishna DDD Center LLC (Peaceful DDD Center)
• Jay Shree Krishna LLC (Peaceful Adult Day Care)
• Joie's World. LLC (Joie's World)
• Hyangsun Kim
• Anthony Peter Labarbiera, DPM,DABPS

• Foot & Ankle Surgery Podiatrist in Little Ferry, NJ
• Providers in Little Ferry, 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 11, 2023; 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.