Organization Active NPI

Healthmark Foot and Ankle Associates, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Media, PA
National Provider Identifier
1255376307
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
HEALTHMARK FOOT AND ANKLE ASSOCIATES, P.C.
Practice address
101 N Monroe St
Media, PA 19063-3037
Phone
(610) 565-3668
Fax
(610) 565-9722
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. Nicholas M Romansky, D.P.M.NPI 1912992991
Title
President
Phone
(610) 565-3668

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

101 N Monroe St
Media, PA 19063-3037

Mailing address

101 N Monroe St
Media, PA 19063-3037
Phone (610) 565-3668

Other identifiers 8

IdentifierTypeStateIssuer
0005376308OtherPAAETNA HEALTH PLAN
1034965OtherPAKEYSTONE MERCY HEALTH PLA
A55111OtherPAAHA
P235401OtherPAHMA
CH4537OtherPARAILROAD MEDICARE
0268432000OtherPAIBC
155111OtherPAHIGHMARK BLUE SHIELD
118168500OtherPADEPT. OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040721001104 PA Part B Supplier - Clinic/Group Practice 4981684925 Receives reassigned benefits from 5 practitioners
Practice locations: Springfield, PA; Media, PA; Exton, PA
O20100930073719 PA DME Supplier - Physician - Podiatry 4981684925 Practice locations: Media, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Healthmark Foot and Ankle Associates PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 N Monroe St
#1
Media, PA 19063

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1255376307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MONROE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633037",
            "telephone_number": "610-565-3668",
            "fax_number": "610-565-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MONROE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633037",
            "telephone_number": "610-565-3668",
            "fax_number": "610-565-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMARK FOOT AND ANKLE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "ROMANSKY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-565-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLAN",
            "identifier": "0005376308",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLA",
            "identifier": "1034965",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHA",
            "identifier": "A55111",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "P235401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4537",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0268432000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "155111",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "118168500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.