Organization Active NPI

Foot and Ankle Care of South Jersey, LLC

  • Podiatrist
  • Voorhees, NJ
National Provider Identifier
1316313380
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT AND ANKLE CARE OF SOUTH JERSEY, LLC
Practice address
303 Haddonfield Berlin Rd
Voorhees, NJ 08043-1412
Phone
(856) 429-5100
Fax
(856) 429-5800
NPI assigned
Aug 13, 2015
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Dr. Jeffrey S. Rosenman, D.P.M., M.SC.B.NPI 1659668846
Title
President
Phone
(856) 429-5100

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
Podiatrist 213E00000X Primary

Addresses

Primary practice location

303 Haddonfield Berlin Rd
Voorhees, NJ 08043-1412

Mailing address

100 Springdale Rd
Ste A3, PMB 402
Cherry Hill, NJ 08003-3300
Phone (856) 429-5100

Other names 1

  • Jeffrey S Rosenman DPM MScB Foot Care of South Jersey Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160121002577 NJ Part B Supplier - Clinic/Group Practice 8325341530 Receives reassigned benefits from 1 practitioner
Practice locations: Voorhees, NJ
O20160610001986 NJ DME Supplier - Physician - Podiatry 8325341530 Practice locations: Voorhees, NJ

National Provider Directory

National Provider Directory

Locations

303 Haddonfield Berlin Rd
Voorhees, NJ 08043
Phone (856) 429-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12645/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1316313380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRINGDALE RD",
            "address_2": "STE A3, PMB 402",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033300",
            "telephone_number": "856-429-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HADDONFIELD BERLIN RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431412",
            "telephone_number": "856-429-5100",
            "fax_number": "856-429-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CARE OF SOUTH JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "ROSENMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-429-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M., M.SC.B."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey S Rosenman DPM MScB Foot Care of South Jersey",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.