NPIMap

Organization Active NPI

Cornerstone Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Sewell, NJ
National Provider Identifier
1386003085
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CORNERSTONE FOOT & ANKLE
Practice address
100 Kings Way E
Suite D6
Sewell, NJ 08080-2237
Phone
(856) 582-6082
Fax
(856) 582-6083
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Nicole Baylinson
Title
Practice Manager
Phone
(856) 582-6082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

100 Kings Way E
Suite D6
Sewell, NJ 08080-2237

Mailing address

100 Kings Way E
Suite D6
Sewell, NJ 08080-2237
Phone (856) 582-6082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160720000060 NJ Part B Supplier - Clinic/Group Practice 1254624869 Receives reassigned benefits from 10 practitioners
Practice locations: Cherry Hill, NJ; Glassboro, NJ; Marlton, NJ; Mount Holly, NJ; Pennsville, NJ; Sewell, NJ
O20161216001428 NJ DME Supplier - Physician - Podiatry 1254624869 Practice locations: Sewell, NJ

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Foot Ankle6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

707 N Main St
Ste 1
Glassboro, NJ 08028
Phone (856) 307-9700

525 Route 73 S
Ste 304
Marlton, NJ 08053
Phone (609) 983-5144

525 Route 73 S
Ste 306
Marlton, NJ 08053

525 Route 73 N
Ste 304
Marlton, NJ 08053

100 Kings Way E
Ste D6
Sewell, NJ 08080
Phone (856) 347-4765

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1386003085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY E",
            "address_2": "SUITE D6",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802237",
            "telephone_number": "856-582-6082",
            "fax_number": "856-582-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY E",
            "address_2": "SUITE D6",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802237",
            "telephone_number": "856-582-6082",
            "fax_number": "856-582-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "BAYLINSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "856-582-6082"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.