Organization Active NPI

Advanced Foot Care of NJ LLC

  • Podiatrist
  • Woodland Park, NJ
National Provider Identifier
1306202809
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00315400 Issued in NJ
Legal business name
ADVANCED FOOT CARE OF NJ LLC
Practice address
1031 McBride Ave
Ste D-105
Woodland Park, NJ 07424-2559
Phone
(973) 256-0002
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Anant P Joshi, DPMNPI 1295091528
Title
Owner
Phone
(973) 256-0002

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00315400 NJ Primary

Addresses

Primary practice location

1031 McBride Ave
Ste D-105
Woodland Park, NJ 07424-2559

Mailing address

1031 McBride Ave
Ste D-105
Woodland Park, NJ 07424-2559
Phone (973) 256-0002

Other identifiers 1

IdentifierTypeStateIssuer
273052ZAJMOtherNJMEDICARE PROVIDER ID

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160203000100 NJ Part B Supplier - Clinic/Group Practice 4981908555 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Park, NJ
O20170414000148 NJ DME Supplier - Physician - Podiatry 4981908555 Practice locations: Woodland Park, NJ

National Provider Directory

National Provider Directory

Locations

1031 McBride Ave
Ste D203
Woodland Park, NJ 07424
Phone (973) 256-6350

1031 McBride Ave
Ste D105
Woodland Park, NJ 07424
Phone (201) 256-0002

Practitioners & affiliated clinicians

Practitioners 1

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1306202809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 MCBRIDE AVE",
            "address_2": "STE D-105",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242559",
            "telephone_number": "973-256-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MCBRIDE AVE",
            "address_2": "STE D-105",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242559",
            "telephone_number": "973-256-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT CARE OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "ANANT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-256-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00315400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "273052ZAJM",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.