Alfred J Iezzi Jr., DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

MD01211 Issued in NJ

Practice address

4503 Atlantic Ave
Atlantic City, NJ 08401-5733

Phone

(609) 344-3900

Fax

(609) 344-8512

NPI assigned

Nov 9, 2006

Last updated

Jun 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Foot and Ankle Specialists of NJ LLCGroup PAC ID 0547623332, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Alfred J. Iezzi Jr. PC

  • Foot & Ankle Surgery Podiatrist
  • Longport, NJ
  • NPI 1154481232

  PA

  Medicare reassignment NPD Authorized official
• Integrated Foot and Ankle Specialists of NJ LLC

  • Foot & Ankle Surgery Podiatrist
  • Marlton, NJ
  • NPI 1679284285
  Medicare reassignment Care Compare group NPD
• DRS Iezzi-Twardzik

  • Podiatrist
  • Philadelphia, PA
  • NPI 1427110287

  Foot Surgery

  Medicare reassignment NPD Authorized official
• Associates in Podiatric Medicine & Surgery, PC

  • Foot & Ankle Surgery Podiatrist
  • Atlantic City, NJ
  • NPI 1740340652
  Medicare reassignment NPD
• Integrated Foot and Ankle Specialists of NJ LLC

  • Podiatric Clinic/Center
  • Cherry Hill, NJ
  • NPI 1851197545
  NPD
• Integrated Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Marlton, NJ
  • NPI 1275286940
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1679643340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 ATLANTIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015733",
            "telephone_number": "609-344-3900",
            "fax_number": "609-344-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 ATLANTIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015733",
            "telephone_number": "609-344-3900",
            "fax_number": "609-344-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IEZZI",
        "first_name": "ALFRED",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD01211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2263009",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "575928YK6M",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avory Daize Hunter, NP
• Arif Hussain, MD
• Phan K. Huynh, DMD
• Morris Ibeawuchi, MD
• Dina Ibrahim, MD
• Juan Marco Martinez Ignacio, MD
• Inlet Medical Associates, Inc
• Integrated Foot and Ankle Specialists of NJ LLC
• Integrity Transit LLC
• Javid Iqbal, MD

• Foot Surgery Podiatrist in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.