NJC Foot & Ankle Surgical Specialists

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

NJC FOOT & ANKLE SURGICAL SPECIALISTS

Practice address

2951 NW 49TH Ave Ste 201
Lauderdale Lakes, FL 33313-1608

Phone

(305) 712-6395

Fax

(305) 630-8590

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Joseph Coretti III, DPMNPI 1235500422

Title

Owner/Podiatrists

Phone

(609) 506-8362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NJC FOOT & ANKLE SURGICAL SPECIALISTS LLC Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

NJC Foot Ankle Surgical Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• NJC Foot & Ankle Surgical Specialists

  • Foot & Ankle Surgery Podiatrist
  • Miami Shores, FL
  • NPI 1023749181
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Nicholas Joseph Coretti III, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lauderdale Lakes, FL
  • NPI 1235500422
  Medicare reassignment NPD Authorized official
• Argentino Antonio Di Luigi, MD

  • Psychiatry Physician
  • Boynton Beach, FL
  • NPI 1689662181
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1649775065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15773 NW 3RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281588",
            "telephone_number": "609-506-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE STE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131608",
            "telephone_number": "305-712-6395",
            "fax_number": "305-630-8590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 West Dr # 100",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334422000",
            "country_code": "US",
            "telephone_number": "305-712-6395",
            "fax_number": "305-630-8590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJC FOOT & ANKLE SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "CORETTI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PODIATRISTS",
        "authorized_official_telephone_number": "609-506-8362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "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": "103268900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NJC FOOT & ANKLE SURGICAL SPECIALISTS LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thuy Thi Thu Nguyen, BS
• Van Nguyen
• NH Pharmacy (Medix Pharmacy)
• Juan Esteban Nino Carreno, MD
• Catherine M Njagi, RN
• Evelyn Noel, APRN, PMHNP
• North Broward Hospital District (BH Lauderdale Lakes Hlth Ctr)
• North Broward Hospital District
• North Shore Medical Center, Inc. (North Shore Medical Center - FMC Campus)
• Notre Dame Chiropractic Center, Inc.

• Foot & Ankle Surgery Podiatrist in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.