Asdj LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ASDJ LLC

Practice address

2190 Bridgeport Cir
Rockledge, FL 32955-4338

Phone

(414) 870-0802

NPI assigned

Aug 10, 2020

Last updated

Aug 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Fernando San Diego Jr., DPMNPI 1053678052

Title

Owner

Phone

(414) 870-0802

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Alexander Fernando San Diego Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Merritt Island, FL
  • NPI 1053678052
  NPD Authorized official

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1306457841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 BRIDGEPORT CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554338",
            "telephone_number": "414-870-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 BRIDGEPORT CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554338",
            "telephone_number": "414-870-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASDJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "SAN DIEGO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-870-0802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Emily Arjoon-Nieves, OTD, OTR
• Erica Arocho
• Mark Jay Arost, MSW
• Marisa Raquel Arriaga
• Jessica Arruda
• Jenie Ashbaugh, LMT
• Francis Afutu Ashie, MD PA
• Assisting Help Senior Care
• Avril Asson, ARNP
• Atlantic Space Coast Gi PA

• Foot & Ankle Surgery Podiatrist in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.