Advanced Ankle and Foot Center, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ADVANCED ANKLE AND FOOT CENTER, LLC

Practice address

1259 US Highway 46
Building 3
Parsippany, NJ 07054

Phone

(973) 263-5500

Fax

(201) 590-4907

NPI assigned

Oct 14, 2016

Last updated

Aug 15, 2018By 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. Vilayvanh Sysounthone, DPMNPI 1558312264

Title

Owner

Phone

(973) 263-5500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Vilayvanh Sysounthone, DPM

  • Foot & Ankle Surgery Podiatrist
  • Parsippany, NJ
  • NPI 1558312264
  Medicare reassignment NPD Authorized official
• Joseph Duffy, M.D.

  • Family Medicine Physician
  • Wayne, NJ
  • NPI 1033117171
  NPD (past)

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1356892392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 US HIGHWAY 46",
            "address_2": "BUILDING 3",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544913",
            "telephone_number": "973-263-5500",
            "fax_number": "201-590-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 US HIGHWAY 46",
            "address_2": "BUILDING 3",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-263-5500",
            "fax_number": "201-590-4907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Hamburg Tpke Ste 14",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074702132",
            "country_code": "US",
            "telephone_number": "973-263-5500",
            "fax_number": "201-590-4907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "484 Lafayette Ave",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NJ",
            "postal_code": "075062522",
            "country_code": "US",
            "telephone_number": "973-263-5500",
            "fax_number": "201-590-4907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED ANKLE AND FOOT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "SYSOUNTHONE",
        "authorized_official_first_name": "VILAYVANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-263-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Parsippany, NJ
• Providers in Parsippany, 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 Aug 15, 2018; 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.