Organization Active NPI

Wayne Foot and Ankle Center,PA

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
National Provider Identifier
1669519047
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00108100 Issued in NJ
Legal business name
WAYNE FOOT AND ANKLE CENTER,PA
Practice address
246 Hamburg Turnpike
Suite 204
Wayne, NJ 07470-2160
Phone
(973) 595-8900
Fax
(973) 595-0330
NPI assigned
Feb 1, 2007
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Bruce David Calligaro, DPMNPI 1154361079
Title
President
Phone
(973) 595-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00108100 NJ Primary

Addresses

Primary practice location

246 Hamburg Turnpike
Suite 204
Wayne, NJ 07470-2160

Mailing address

246 Hamburg Tpke
Suite 204
Wayne, NJ 07470-2156
Phone (973) 595-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080502000520 NJ Part B Supplier - Clinic/Group Practice 2466531330 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, NJ; West Milford, NJ; Pompton Plains, NJ; Hewitt, NJ
O20100930093772 NJ DME Supplier - Physician - PodiatryDME Supplier - Independent Physiological Lab 2466531330 Practice locations: Wayne, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wayne Foot & Ankle Center PA246 Hamburg Tpke, Wayne, NJ 07470-2160(973) 595-8900 Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Mar 13, 2008

National Provider Directory

National Provider Directory

Locations

1900 Union Valley Rd
Ste 203
Hewitt, NJ 07421
Phone (973) 506-6150

246 Hamburg Tpke
Ste 204
Wayne, NJ 07470
Phone (973) 595-8900

2024 Macopin Rd
Ste D2
West Milford, NJ 07480
Phone (973) 506-6151

Practitioners & affiliated clinicians

Practitioners 66

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.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1669519047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "address_2": "SUITE 204",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702156",
            "telephone_number": "973-595-8900",
            "fax_number": "973-595-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TURNPIKE",
            "address_2": "SUITE 204",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702160",
            "telephone_number": "973-595-8900",
            "fax_number": "973-595-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE FOOT AND ANKLE CENTER,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "CALLIGARO",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-595-8900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00108100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.