Organization Active NPI

Podiatry- Foot and Ankle Surgery Associates,P.C.

  • Podiatrist
  • Englewood, NJ
National Provider Identifier
1699716134
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY- FOOT AND ANKLE SURGERY ASSOCIATES,P.C.
Practice address
151 East Palisade Av. Apt C12
Englewood, NJ 07631-2255
Phone
(201) 503-0399
Fax
(201) 503-0399
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. David N. Mehler, D.P.M.
Title
President
Phone
(845) 426-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

151 East Palisade Av. Apt C12
Englewood, NJ 07631-2255

Mailing address

151 E Palisade Ave
Apt C12
Englewood, NJ 07631-2248
Phone (845) 426-6667

Other identifiers 2

IdentifierTypeStateIssuer
01596336MedicaidNY
8680809MedicaidNJ

National Provider Directory

National Provider Directory

Locations

12 Meron Dr
#2
Monroe, NY 10950
Phone (718) 782-0600

12 Meron Dr
Ste S1
Monroe, NY 10950
Phone (845) 782-3668

50 Melnick Dr
#2
Monsey, NY 10952
Phone (845) 426-6667

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1699716134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E PALISADE AVE",
            "address_2": "APT C12",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312248",
            "telephone_number": "845-426-6667",
            "fax_number": "201-503-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EAST PALISADE AV. APT C12",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312255",
            "telephone_number": "201-503-0399",
            "fax_number": "201-503-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY- FOOT AND ANKLE SURGERY ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "MEHLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-426-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01596336",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8680809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.