Organization Active NPI

Premier Foot and Ankle Care

  • Foot & Ankle Surgery Podiatrist
  • Jersey City, NJ
National Provider Identifier
1275958472
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00291500 Issued in NJ
Legal business name
PREMIER FOOT AND ANKLE CARE
Practice address
550 Summit Ave
Basement Office
Jersey City, NJ 07306-2707
Phone
(201) 303-1875
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Dr. Brian Levine, DPMNPI 1770787608
Title
Physician
Phone
(201) 303-1875

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 25MD00291500 NJ Primary

Addresses

Primary practice location

550 Summit Ave
Basement Office
Jersey City, NJ 07306-2707

Mailing address

14 Post LN
Livingston, NJ 07039-4905
Phone (201) 303-1875

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1275958472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 POST LN",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394905",
            "telephone_number": "201-303-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE",
            "address_2": "BASEMENT OFFICE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062707",
            "telephone_number": "201-303-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOT AND ANKLE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-303-1875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00291500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.