NPIMap

Organization Active NPI

Premier Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Somerset, NJ
National Provider Identifier
1295072627
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00309500 Issued in NJ
Legal business name
PREMIER FOOT & ANKLE CENTER
Practice address
7 Cedar Grove LN Ste 28
Suite C
Somerset, NJ 08873-1331
Phone
(732) 397-5427
NPI assigned
Jan 4, 2013
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Jade Gittens, DPM
Title
Owner
Phone
(732) 397-5427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00309500 NJ Primary

Addresses

Primary practice location

7 Cedar Grove LN Ste 28
Suite C
Somerset, NJ 08873-1331

Mailing address

7 Cedar Grove LN Ste 28
Suite C
Somerset, NJ 08873-1331
Phone (732) 397-5427

National Provider Directory

National Provider Directory

Locations

710 Easton Ave
#C
Somerset, NJ 08873
Phone (732) 412-1282

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1295072627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LN STE 28",
            "address_2": "SUITE C",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731331",
            "telephone_number": "732-397-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LN STE 28",
            "address_2": "SUITE C",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731331",
            "telephone_number": "732-397-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "GITTENS",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-397-5427",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00309500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.