NPIMap

Organization Active NPI

Advanced Feet and Ankle Care

  • Podiatrist
  • Old Bridge, NJ
National Provider Identifier
1356588917
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ADVANCED FEET AND ANKLE CARE
Practice address
2477 Highway 516
Old Bridge, NJ 08857-4603
Phone
(732) 679-4330
Fax
(732) 679-4777
NPI assigned
Jan 19, 2009
Last updated
Aug 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Jason M. Grossman, DPMNPI 1720079239
Title
Owner
Phone
(732) 679-4330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NJ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NJ

Addresses

Primary practice location

2477 Highway 516
Old Bridge, NJ 08857-4603

Mailing address

2477 Highway 516
Old Bridge, NJ 08857-4603
Phone (732) 679-4330

Other identifiers 1

IdentifierTypeStateIssuer
0186350MedicaidNJ

Other names 1

  • Advanced Foot and Ankle Care Other name

National Provider Directory

National Provider Directory

Locations

2477 Route 516
Old Bridge, NJ 08857
Phone (732) 679-4330

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": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1356588917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 HIGHWAY 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088574603",
            "telephone_number": "732-679-4330",
            "fax_number": "732-679-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 HIGHWAY 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088574603",
            "telephone_number": "732-679-4330",
            "fax_number": "732-679-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FEET AND ANKLE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-679-4330",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186350",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Foot and Ankle Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.