Brick Foot & Ankle Center, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BRICK FOOT & ANKLE CENTER, PC

Practice address

292 Herbertsville Rd
Brick, NJ 08724-1734

Phone

(732) 840-8989

Fax

(732) 840-9135

NPI assigned

May 26, 2017

Last updated

Apr 16, 2019By 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

John Mostafa, DPMNPI 1598058554

Title

Physician

Phone

(201) 683-1133

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19322/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• John Mostafa, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Brick, NJ
  • NPI 1598058554

  Single Specialty

  Medicare reassignment NPD Authorized official
• Bassem M Demian, DPM

  • Podiatrist
  • Brick, NJ
  • NPI 1710957733
  Medicare reassignment NPD

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1316475973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ANNA ROSE CT",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052270",
            "telephone_number": "201-683-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 HERBERTSVILLE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241734",
            "telephone_number": "732-840-8989",
            "fax_number": "732-840-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICK FOOT & ANKLE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "MOSTAFA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-683-1133",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1598058554",
            "identifier": "1598058554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brick Chiropractic Wellness Center
• Brick Chiropractic Wellness Center LLC
• Brick Dental Associates, P.C.
• Brick Dental Care
• Brick Dental Studio
• Brick Hand & Rehabilitative Services Limited Partnership
• Brick Pain Relief and Wellness, Inst.
• Brick Pediatric Dentistry and Orthodontics
• Brick Pet Partners, LLC (PET Imaging Institute of New Jersey)
• Brick Rheumatology, LLC

• Foot & Ankle Surgery Podiatrist in Brick, NJ
• Providers in Brick, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.