NPIMap

Organization Active NPI

Affiliated Podiatrists of South Jersey LTD

  • Foot & Ankle Surgery Podiatrist
  • Vineland, NJ
National Provider Identifier
1295894558
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2283 Issued in NJ
Legal business name
AFFILIATED PODIATRISTS OF SOUTH JERSEY LTD
Practice address
150 S Main Rd
Vineland, NJ 08360-7828
Phone
(856) 691-2152
Fax
(856) 696-3474
NPI assigned
Dec 6, 2006
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Dr. Rodmehr Ajdari, DPMNPI 1467716092
Title
Owner
Phone
(856) 691-2152

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 2283 NJ Primary

Addresses

Primary practice location

150 S Main Rd
Vineland, NJ 08360-7828

Mailing address

150 S Main Rd
Vineland, NJ 08360-7828
Phone (856) 691-2152

Other names 1

  • The Foot Care Centers Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051109000274 NJ Part B Supplier - Clinic/Group Practice 0749208684 Receives reassigned benefits from 8 practitioners
Practice locations: Elmer, NJ; Vineland, NJ
O20111003000019 NJ DME Supplier - Physician - Podiatry 0749208684 Practice locations: Vineland, NJ

National Provider Directory

National Provider Directory

Locations

150 S Main Rd
Vineland, NJ 08360
Phone (609) 691-2152

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7753d029-0f68-4c26-8081-55eb23bb5866/

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1295894558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607828",
            "telephone_number": "856-691-2152",
            "fax_number": "856-696-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607828",
            "telephone_number": "856-691-2152",
            "fax_number": "856-696-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED PODIATRISTS OF SOUTH JERSEY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "AJDARI",
        "authorized_official_first_name": "RODMEHR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-691-2152",
        "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": "2283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot Care Centers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Foot Care Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.