Active NPI
Foot and Ankle Excellence, Inc
Doing business as Foot and Ankle Excellence
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC006479
- Legal business name
- FOOT AND ANKLE EXCELLENCE, INC
- Doing business as
- Foot and Ankle Excellence
- Practice address
- 1900 Grant Ave Ste B
Philadelphia, PA 19115-4370 - Phone
- (215) 698-6133
- Fax
- (215) 698-6144
- NPI assigned
- Jun 2, 2016
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruni Leka, DPM
- Title
- Owner
- Phone
- (215) 698-6133
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC006479 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006479 | PA | Primary |
Addresses
Primary practice location
1900 Grant Ave Ste B
Philadelphia, PA 19115-4370
Mailing address
1927 Goodnaw St
Philadelphia, PA 19115-4720
Phone (215) 698-6133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032590600001 | Medicaid | PA |
Other names 1
- Foot and Ankle Excellence
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1300 Horizon Dr
Ste 102
Chalfont, PA 18914
Phone (215) 348-3400
11410 Bustleton Ave
Philadelphia, PA 19116
Phone (215) 240-6007
1900 Grant Ave
Ste B
Philadelphia, PA 19115
Phone (215) 698-6133
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Primary Podiatric Medicine Podiatrist
- Philadelphia, PA
- NPI 1689014425
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1710335476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1927 GOODNAW ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191154720",
"telephone_number": "215-698-6133",
"fax_number": "215-698-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 GRANT AVE STE B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191154370",
"telephone_number": "215-698-6133",
"fax_number": "215-698-6144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE EXCELLENCE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-02",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LEKA",
"authorized_official_first_name": "BRUNI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-698-6133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "PA",
"license": "SC006479",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1032590600001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Foot and Ankle Excellence",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.