NPIMap

Organization Active NPI

Pennsylvania Foot and Ankle Associates, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1336298124
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006158
Legal business name
PENNSYLVANIA FOOT AND ANKLE ASSOCIATES, P.C.
Practice address
1304 Rhawn St
Philadelphia, PA 19111
Phone
(215) 742-1225
Fax
(215) 742-3902
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Aisha Chaudhry, DPMNPI 1326294471
Title
Shareholder/ President
Phone
(267) 980-8663

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 SC006158 Primary

Addresses

Primary practice location

1304 Rhawn St
Philadelphia, PA 19111

Mailing address

1304 Rhawn St
Philadelphia, PA 19111-2870
Phone (215) 742-1225

Other practice location 1

301 Oxford Valley Rd Ste 204
Yardley, PA 19067-7706
Phone (215) 493-8300

Other practice location 2

13 Market Pl Ste 60
New Hope, PA 18938-1059
Phone (215) 862-2084

Other identifiers 3

IdentifierTypeStateIssuer
001829025-0001MedicaidPA
001829025-0010MedicaidPA
001829025-0011MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000170 PA Part B Supplier - Clinic/Group Practice 3971587387 Receives reassigned benefits from 12 practitioners
Practice locations: Philadelphia, PA; New Hope, PA; Yardley, PA; Reading, PA

National Provider Directory

National Provider Directory

Locations

13 Market Pl
Ste 60
New Hope, PA 18938
Phone (215) 862-2084

13 Market Pl
#60
New Hope, PA 18938

4718 Kutztown Rd
Temple, PA 19560
Phone (610) 921-8800

1436 Penn Ave
Wyomissing, PA 19610
Phone (610) 372-4800

301 Oxford Valley Rd
Ste 204A
Yardley, PA 19067

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1336298124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112870",
            "telephone_number": "215-742-1225",
            "fax_number": "215-742-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19111",
            "telephone_number": "215-742-1225",
            "fax_number": "215-742-3902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Oxford Valley Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190677706",
            "country_code": "US",
            "telephone_number": "215-493-8300",
            "fax_number": "215-493-3096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13 Market Pl Ste 60",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "PA",
            "postal_code": "189381059",
            "country_code": "US",
            "telephone_number": "215-862-2084",
            "fax_number": "215-862-5083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENNSYLVANIA FOOT AND ANKLE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "SHAREHOLDER/ PRESIDENT",
        "authorized_official_telephone_number": "267-980-8663",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": "SC006158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001829025-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001829025-0010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001829025-0011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.