Active NPI
Cornerstone Foot & Ankle
- Podiatrist
- Glassboro, NJ
National Provider Identifier
1487102778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- CORNERSTONE FOOT & ANKLE
- Practice address
- 707 N Main St
Glassboro, NJ 08028-1605 - Phone
- (856) 582-6082
- Fax
- (856) 582-6083
- NPI assigned
- Sep 14, 2016
- 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
- Robert Warkala, DPM
- Title
- Owner
- Phone
- (856) 582-6082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
707 N Main St
Glassboro, NJ 08028-1605
Mailing address
516 High St
Mount Holly, NJ 08060-1026
Phone (856) 582-6082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161216001902 | NJ | DME Supplier - Physician - Podiatry | 1254624869 | Practice locations: Glassboro, 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 Ankle
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Cherry Hill, NJ
- NPI 1124479555
-
- Foot & Ankle Surgery Podiatrist
- Pennsville, NJ
- NPI 1336838986
-
- Foot & Ankle Surgery Podiatrist
- Sewell, NJ
- NPI 1386003085
-
- Podiatrist
- Mount Holly, NJ
- NPI 1396196721
-
- Podiatrist
- Marlton, NJ
- NPI 1578914909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473811200000",
"number": "1487102778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 HIGH ST",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080601026",
"telephone_number": "856-582-6082",
"fax_number": "856-582-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N MAIN ST",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281605",
"telephone_number": "856-582-6082",
"fax_number": "856-582-6083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE FOOT & ANKLE",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-14",
"last_updated": "2016-09-14",
"status": "A",
"authorized_official_last_name": "WARKALA",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-582-6082",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.