Classic Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MD001801 Issued in NJ

Legal business name

CLASSIC PODIATRY

Practice address

655 Pomander Walk
Teaneck, NJ 07666-1600

Phone

(201) 801-0631

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Mei, D.P.M.NPI 1245329218

Title

President-Partner

Phone

(201) 801-0631

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• Joseph Mei, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hawthorne, NJ
  • NPI 1245329218
  Medicare reassignment Authorized official
• Marc Bozzetti, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hackensack, NJ
  • NPI 1447349451
  Medicare reassignment

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710047956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 POMANDER WALK",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661600",
            "telephone_number": "201-801-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 POMANDER WALK",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661600",
            "telephone_number": "201-801-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT-PARTNER",
        "authorized_official_telephone_number": "201-801-0631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD001801",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD02077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5642604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Chung
• Churchill Orthopedic Rehabilitation, LLC
• Stephen Knowles Churchill
• Ani Cioffo, AGNP-C
• Carmen Elena Clark, IBCLC, RLC
• Clenton Coleman MD PC
• Ayoka Clifford
• Cogent Healthcare
• Cognitive Behavioral Solutions, LLC
• Barry Philip Cohen, PH.D.

• Foot & Ankle Surgery Podiatrist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.