Organization Active NPI

Central Jersey Foot and Ankle Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Manalapan, NJ
National Provider Identifier
1629224894
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
25MD00231100 Issued in NJ
Legal business name
CENTRAL JERSEY FOOT AND ANKLE CARE, P.C.
Practice address
701 Tennent Rd Ste 101
Manalapan, NJ 07726-3193
Phone
(732) 866-4411
Fax
(732) 866-0044
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Dr. Alan Bass, DPMNPI 1649260563
Title
President
Phone
(732) 866-4411

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
Durable Medical Equipment & Medical Supplies 332B00000X 25MD00231100 NJ Primary

Addresses

Primary practice location

701 Tennent Rd Ste 101
Manalapan, NJ 07726-3193

Mailing address

701 Tennent Rd Ste 101
Manalapan, NJ 07726-3193
Phone (732) 866-4411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091009000378 NJ Part B Supplier - Clinic/Group Practice 6305982067 Receives reassigned benefits from 1 practitioner
Practice locations: Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

701 Tennent Rd
#101
Manalapan, NJ 07726
Phone (732) 866-4111

701 Tennent Rd
Ste 101
Manalapan, NJ 07726
Phone (732) 866-4411

Practitioners & affiliated clinicians

Practitioners 1

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": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1629224894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TENNENT RD STE 101",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263193",
            "telephone_number": "732-866-4411",
            "fax_number": "732-866-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TENNENT RD STE 101",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263193",
            "telephone_number": "732-866-4411",
            "fax_number": "732-866-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY FOOT AND ANKLE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-866-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "25MD00231100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.