Philadelphia Foot and Ankle LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

PHILADELPHIA FOOT AND ANKLE LLC

Practice address

1337 Cottman Ave Ste a
Philadelphia, PA 19111-3728

Phone

(215) 745-6566

Fax

(215) 893-1722

NPI assigned

Aug 9, 2020

Organization subpart

No

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

Authorized official

Name

Andrew MermelsteinNPI 1851877179

Title

Owner

Phone

(215) 745-6566

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Mermelstein, DPM

  • Podiatrist
  • Philadelphia, PA
  • NPI 1851877179
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1265042741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 COTTMAN AVE STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113728",
            "telephone_number": "215-745-6566",
            "fax_number": "215-893-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 COTTMAN AVE STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113728",
            "telephone_number": "215-745-6566",
            "fax_number": "215-893-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-09",
        "last_updated": "2022-08-10",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "MERMELSTEIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-745-6566"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "aethena.com",
            "affiliation": "N",
            "address_1": "7439 Frankford Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191363600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Philadelphia Family Medicne Assoc P.C.
• Philadelphia Fertility Institute
• Philadelphia Fight
• Philadelphia Fight
• Philadelphia Foot and Ankle Associates, PLLC
• Philadelphia Foot and Ankle PC
• Philadelphia Gastroenterology Consultants LTD.
• Philadelphia Gastroenterology Group, P.C.
• Philadelphia Headache Relief Center
• Philadelphia Health & Education (Drexel Otolaryngology)

• Primary Podiatric Medicine Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Podiatric Medicine Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.