Organization Active NPI

Complete Foot and Ankle Specialty LLC

  • Foot & Ankle Surgery Podiatrist
  • East Brunswick, NJ
National Provider Identifier
1255927646
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
COMPLETE FOOT AND ANKLE SPECIALTY LLC
Practice address
G12 Brier Hill CT
East Brunswick, NJ 08816-3338
Phone
(732) 432-7250
Fax
(732) 898-1114
NPI assigned
Dec 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Authorized official

Name
Anup Patel, DPMNPI 1811287527
Title
Manager
Phone
(732) 432-7250

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

G12 Brier Hill CT
East Brunswick, NJ 08816-3338

Mailing address

G12 Brier Hill CT
East Brunswick, NJ 08816-3338
Phone (732) 432-7250

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210222000284 NJ Part B Supplier - Clinic/Group Practice 2062827231 Receives reassigned benefits from 4 practitioners
Practice locations: East Brunswick, NJ; Metuchen, NJ
O20210401001771 NJ DME Supplier - Physician - Podiatry 2062827231 Practice locations: East Brunswick, NJ

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Complete Foot Ankle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1608336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711152000000",
    "number": "1255927646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G12 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163338",
            "telephone_number": "732-432-7250",
            "fax_number": "732-432-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G12 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163338",
            "telephone_number": "732-432-7250",
            "fax_number": "732-898-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FOOT AND ANKLE SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-19",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANUP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-432-7250",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.