Organization Active NPI

Associates in Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Brick, NJ
National Provider Identifier
1508928979
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ASSOCIATES IN FOOT AND ANKLE
Practice address
2159 Route 88 E
Brick, NJ 08724-3232
Phone
(732) 899-3366
Fax
(732) 899-1722
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Jason Larson, DPMNPI 1215905203
Title
Owner
Phone
(732) 899-0015

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 Primary

Addresses

Primary practice location

2159 Route 88 E
Brick, NJ 08724-3232

Mailing address

2159 Route 88 E
Brick, NJ 08724-3232
Phone (732) 899-0015

Other identifiers 2

IdentifierTypeStateIssuer
0068080MedicaidNJ
DB9553OtherNJRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050606000834 NJ Part B Supplier - Clinic/Group Practice 2163499724 Receives reassigned benefits from 4 practitioners
Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: jocelynguillen@afas.allscriptsdirect.net
  • Direct secure messaging: jamesholmes@afas.allscriptsdirect.net
  • Direct secure messaging: monayousef@afas.allscriptsdirect.net
  • Direct secure messaging: allenatheras@afas.allscriptsdirect.net
  • Direct secure messaging: jasonlarson@afas.allscriptsdirect.net
  • Direct secure messaging: kennethindahl@afas.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 6

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1508928979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243232",
            "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": "2159 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243232",
            "telephone_number": "732-899-3366",
            "fax_number": "732-899-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-899-0015",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068080",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB9553",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.