NPIMap

Organization Active NPI

Lawrenceville Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Lawrenceville, NJ
National Provider Identifier
1689254161
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LAWRENCEVILLE FOOT AND ANKLE SPECIALISTS LLC
Practice address
2633 Main St Ste 202
Lawrenceville, NJ 08648-1086
Phone
(609) 512-1126
Fax
(609) 512-1639
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Dr. Anup P Patel, DPMNPI 1811287527
Title
Member
Phone
(609) 512-1126

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

2633 Main St Ste 202
Lawrenceville, NJ 08648-1086

Mailing address

2633 Main St Ste 202
Lawrenceville, NJ 08648-1086
Phone (609) 512-1126

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210920000596 NJ Part B Supplier - Clinic/Group Practice 4880091859 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrenceville, NJ
O20230517003033 NJ DME Supplier - Physician - Podiatry 4880091859 Practice locations: Lawrenceville, NJ

National Provider Directory

National Provider Directory

Locations

4527 US Highway 9
Howell, NJ 07731
Phone (732) 370-1100

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1689254161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 MAIN ST STE 202",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481086",
            "telephone_number": "609-512-1126",
            "fax_number": "609-512-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 MAIN ST STE 202",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481086",
            "telephone_number": "609-512-1126",
            "fax_number": "609-512-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE FOOT AND ANKLE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANUP",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-512-1126",
        "authorized_official_name_prefix": "Dr.",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.