Organization Active NPI

Tjoe Podiatry, LLC

  • Podiatrist
  • Jersey City, NJ
National Provider Identifier
1629354253
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00310500 Issued in NJ
Legal business name
TJOE PODIATRY, LLC
Practice address
66 York St
Jersey City, NJ 07302-3838
Phone
(201) 984-0231
Fax
(201) 918-5377
NPI assigned
Oct 27, 2011
Last updated
May 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Edward Tjoe, D.P.M.NPI 1245519354
Title
Podiatrist
Phone
(347) 387-3931

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
Podiatrist 213E00000X 25MD00310500 NJ Primary

Addresses

Primary practice location

66 York St
Jersey City, NJ 07302-3838

Mailing address

66 York St
Jersey City, NJ 07302-3838

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111027000705 NJ Part B Supplier - Clinic/Group Practice 6901079474 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

66 York St
Jersey City, NJ 07302
Phone (201) 984-0231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1629354253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 YORK ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 YORK ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023838",
            "telephone_number": "201-984-0231",
            "fax_number": "201-918-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJOE PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "TJOE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "347-387-3931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00310500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.