Nutley Foot and Ankle PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00096600 Issued in NJ

Legal business name

NUTLEY FOOT AND ANKLE PA

Practice address

242 Washington Ave
Nutley, NJ 07110

Phone

(973) 667-3412

Fax

(973) 667-3524

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Vincent Coppola, DPMNPI 1710045869

Title

Owner / President

Phone

(973) 667-3412

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Vincent Coppola, DPM

  • Podiatrist
  • Nutley, NJ
  • NPI 1710045869
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Anthony Cione, DPM

  • Foot & Ankle Surgery Podiatrist
  • Manhasset, NY
  • NPI 1134176639

  NJ

  Medicare reassignment Care Compare group NPD
• Lisa Ann Schimmenti, MD

  • Clinical Genetics (M.D.) Physician
  • Rochester, MN
  • NPI 1568544070
  NPD

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1437327673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WASHINGTON AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-667-3412",
            "fax_number": "973-667-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WASHINGTON AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-667-3412",
            "fax_number": "973-667-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTLEY FOOT AND ANKLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "973-667-3412",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00096600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutley Chiropractic, LLC
• Nutley Emergency Rescue
• Nutley Eye Care, LLC
• Nutley Family Dentists, LLC
• Nutley Family Service Bureau, Inc.
• Nutley Oral Surgery
• Nutley Orthopaedic Group, PA
• Nutley Park Shop Rite Inc
• Nutley Public Schools
• Nutley Vascular Clinic

• Foot & Ankle Surgery Podiatrist in Nutley, NJ
• Providers in Nutley, 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 May 4, 2022; 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.