Foot and Ankle Care Podiatry PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD002 Issued in NY

Legal business name

FOOT AND ANKLE CARE PODIATRY PLLC

Practice address

393 Terhune Ave
Passaic, NJ 07055-2448

Phone

(973) 222-3980

Fax

(718) 792-5900

NPI assigned

Jan 14, 2014

Organization subpart

No

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

Authorized official

Name

Sean RosenblumNPI 1154345924

Title

Secretery

Phone

(718) 302-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Sean David Rosenblum, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
  • NPI 1154345924
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1679995351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 TERHUNE AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552448",
            "telephone_number": "973-222-3980",
            "fax_number": "718-792-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 TERHUNE AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552448",
            "telephone_number": "973-222-3980",
            "fax_number": "718-792-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CARE PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "ROSENBLUM",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "SECRETERY",
        "authorized_official_telephone_number": "718-302-1800"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "25MD002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02891298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Fleischer, LCSW
• Ilan Fleisher, MD
• Oleg Fomitchev, MD
• Tomas K Fong-Soto, D.D.S
• Foot and Ankle Care of Passaic LLC
• Moriah Irene Frailey, LCSW
• Nancy I Franceschi
• Shira R Freudenberger, PSY.D.
• William A Freundlich, DPM
• Carlos Frias, M.D.

• Podiatrist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.