Organization Active NPI

Achilles Foot and Ankle Group LLC

  • Foot Surgery Podiatrist
  • North Bergen, NJ
National Provider Identifier
1700817186
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00105200 Issued in NJ
Legal business name
ACHILLES FOOT AND ANKLE GROUP LLC
Practice address
9234 Kennedy Blvd
North Bergen, NJ 07047-5312
Phone
(201) 868-2400
Fax
(201) 868-2014
NPI assigned
Jul 5, 2006
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Franklin N. Levinson, DPMNPI 1285672022
Title
Managing Partner
Phone
(201) 868-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 25MD00105200 NJ Primary

Addresses

Primary practice location

9234 Kennedy Blvd
North Bergen, NJ 07047-5312

Mailing address

9234 Kennedy Blvd
North Bergen, NJ 07047-5312
Phone (201) 868-2400

Other identifiers 1

IdentifierTypeStateIssuer
0113310MedicaidNJ

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060913000464 NJ Part B Supplier - Clinic/Group Practice 1254335847 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ; North Bergen, NJ
O20100930033976 NJ DME Supplier - Physician - Podiatry 1254335847 Practice locations: North Bergen, NJ

National Provider Directory

National Provider Directory

Locations

142 Palisade Ave
Ste 220
Jersey City, NJ 07306
Phone (201) 714-4668

9234 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 868-2400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1700817186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9234 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475312",
            "telephone_number": "201-868-2400",
            "fax_number": "201-868-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9234 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475312",
            "telephone_number": "201-868-2400",
            "fax_number": "201-868-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHILLES FOOT AND ANKLE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "LEVINSON",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "201-868-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00105200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113310",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.