Nova Foot and Ankle

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

NOVA FOOT AND ANKLE

Doing business as

Nova Foot and Ankle

Practice address

3200 Frankford Avenue 3 FL
3 FL
Philadelphia, PA 19134

Phone

(267) 761-9780

Fax

(267) 761-9781

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Luong, DPMNPI 1760688063

Title

Owner

Phone

(267) 761-9780

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nova Foot and Ankle Doing business as

Electronic endpoints 1

Tax ID family

Nova Foot and Ankle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nova Foot and Ankle

  • Podiatric Clinic/Center
  • Philadelphia, PA
  • NPI 1215602651
  NPD tax ID

Locations

Practitioners 1

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

• Elizabeth Diem Luong, D.P.M.,

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
  • NPI 1760688063
  NPD Authorized official

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1700454543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 FRANKFORD AVENUE 3 FL",
            "address_2": "3 FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "267-761-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 FRANKFORD AVENUE 3 FL",
            "address_2": "3 FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "267-761-9780",
            "fax_number": "267-761-9781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Frankford Avenue 3 FL",
            "address_2": "3 FL",
            "address_purpose": "LOCATION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "country_code": "US",
            "telephone_number": "267-761-9780",
            "fax_number": "267-761-9781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-761-9780",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760688063",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Novafootankle*",
            "affiliation": "N",
            "endpointDescription": "Medical Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "NovaFootandAnkle*",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Specialist",
            "address_1": "3200 Frankford Avenue 3 FL",
            "address_2": "3 FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nova Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nova Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khaled Noueihed Gherzeddine
• Nourishing Care LLC
• Nourishmnt, LLC
• Farzad Nourollah-Zadeh
• Nova Foot and Ankle
• Nova Health First
• Nova Home Health Care Inc
• Nova III
• Nova Star Healthcare LLC
• Nova Star Pharmacy Inc

• Foot & Ankle Surgery Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.