NPIMap

Organization Active NPI

Palm Beach Foot & Ankle Inc

  • Foot & Ankle Surgery Podiatrist
  • Boca Raton, FL
National Provider Identifier
1508219353
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3519 Issued in FL
Legal business name
PALM BEACH FOOT & ANKLE INC
Practice address
9878 Clint Moore Rd
Suite 202
Boca Raton, FL 33496-1037
Phone
(561) 353-5350
Fax
(561) 451-1223
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Dr. Alan Hartstein, DPMNPI 1215978846
Title
Owner/Physician
Phone
(561) 371-1690

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3519 FL Primary

Addresses

Primary practice location

9878 Clint Moore Rd
Suite 202
Boca Raton, FL 33496-1037

Mailing address

9878 Clint Moore Rd
Suite 202
Boca Raton, FL 33496-1037
Phone (561) 353-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200917001381 FL DME Supplier - Physician - General Practice 1456379056 Practice locations: Boca Raton, FL

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Foot and Ank4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

9878 Clint Moore Rd
Ste 202
Boca Raton, FL 33496
Phone (561) 353-5350

675 W Indiantown Rd
Ste 102
Jupiter, FL 33458
Phone (561) 744-6683

7100 S Military Trl
Ste 2
Lake Worth, FL 33463
Phone (561) 964-6222

701 Park Ave
West Palm Beach, FL 33403
Phone (561) 301-8675

2650 S Military Trl
Ste 9
West Palm Beach, FL 33415
Phone (561) 964-1178

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": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1508219353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9878 CLINT MOORE RD",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961037",
            "telephone_number": "561-353-5350",
            "fax_number": "561-451-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9878 CLINT MOORE RD",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961037",
            "telephone_number": "561-353-5350",
            "fax_number": "561-451-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH FOOT & ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "HARTSTEIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "561-371-1690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.