Jce Foot and Ankle Specialties

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD002838 Issued in NJ

Legal business name

JCE FOOT AND ANKLE SPECIALTIES

Doing business as

Jce Foot and Ankle Specialties, LLC

Practice address

430 Morris Ave
Elizabeth, NJ 07208-3609

Phone

(908) 352-1400

Fax

(908) 352-7900

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edwin R Roman, DPMNPI 1407871700

Title

Owner

Phone

(908) 352-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JCE FOOT AND ANKLE SPECIALTIES, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Edwin R Roman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elizabeth, NJ
  • NPI 1407871700
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1558564419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072070493",
            "telephone_number": "908-352-1400",
            "fax_number": "908-352-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083609",
            "telephone_number": "908-352-1400",
            "fax_number": "908-352-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCE FOOT AND ANKLE SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-352-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD002838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084328",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JCE FOOT AND ANKLE SPECIALTIES, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JCE FOOT AND ANKLE SPECIALTIES, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Leah Megan Jayne, LSW
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• Foot & Ankle Surgery Podiatrist in Elizabeth, NJ
• Providers in Elizabeth, 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 Jun 14, 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.