Active NPI
Premier Foot and Ankle, Inc.
- Podiatrist
- Woodbury, NJ
National Provider Identifier
1376740902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PREMIER FOOT AND ANKLE, INC.
- Practice address
- 649 N Broad St
Woodbury, NJ 08096-1621 - Phone
- (856) 845-3668
- NPI assigned
- Jun 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John E Pelosi, DPM
- Title
- President
- Phone
- (856) 881-2525
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
649 N Broad St
Woodbury, NJ 08096-1621
Mailing address
507 N Main St
Glassboro, NJ 08028-1635
Phone (856) 881-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8622001 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
411 N Main St
Glassboro, NJ 08028
Phone (856) 881-2525
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Glassboro, NJ
- NPI 1124025820
-
- Foot & Ankle Surgery Podiatrist
- Glassboro, NJ
- NPI 1619321205
-
- Primary Podiatric Medicine Podiatrist
- Woodbury, NJ
- NPI 1730115833
-
- Podiatrist
- Glassboro, NJ
- NPI 1134817711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1376740902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 N MAIN ST",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281635",
"telephone_number": "856-881-2525",
"fax_number": "856-881-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 N BROAD ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961621",
"telephone_number": "856-845-3668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER FOOT AND ANKLE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "PELOSI",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "856-881-2525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8622001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.