Individual provider Active NPI

Allen J Atheras, DPM

  • Podiatrist
  • Brick, NJ
National Provider Identifier
1508830142
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD002045 Issued in NJ
Practice address
2211 Route 88 E
Brick, NJ 08724-3229
Phone
(732) 899-0015
Fax
(732) 899-0061
NPI assigned
Feb 13, 2006
Last updated
May 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD002045 NJ Primary
Sports Medicine Podiatrist 213ES0000X MD002045 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X MD002045 NJ

Addresses

Primary practice location

2211 Route 88 E
Brick, NJ 08724-3229

Mailing address

2211 Route 88 E
Brick, NJ 08724-3229
Phone (732) 899-0015

Other identifiers 5

IdentifierTypeStateIssuer
P00139173OtherNJRAILROAD
2K5454OtherNJHEALTHNET
60006001OtherNJHORIZON NJ HEALTH
VS101OtherNJOXFORD
5083001MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000299 NJ Practitioner - Podiatry 2264429471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2045NJMDPsychologist
MD002045NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allaire Foot & Ankle Foot & Ankle Surgery CurrentSince May 1, 2011 Accepting new patients
Hal Ornstein Et Al PTR Affiliated Foot & Ankle Center LLP Podiatrist Past Accepting new patients

Locations

2211 Route 88 E
Brick, NJ 08724
Phone (732) 785-8845

2399 Highway 34
Bldg A6
Manasquan, NJ 08736
Phone (732) 528-0815

Interoperability endpoints

  • Direct secure messaging: allenatheras@afas.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1508830142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243229",
            "telephone_number": "732-899-0015",
            "fax_number": "732-899-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243229",
            "telephone_number": "732-899-0015",
            "fax_number": "732-899-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHERAS",
        "first_name": "ALLEN",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002045",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NJ",
            "license": "MD002045",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD002045",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00139173",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K5454",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60006001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "VS101",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5083001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.