Organization Active NPI

Coastal Foot & Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Manahawkin, NJ
National Provider Identifier
1730300856
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00277600 Issued in NJ
Legal business name
COASTAL FOOT & ANKLE, LLC
Practice address
1100 Route 72 W
Suite 307
Manahawkin, NJ 08050-2468
Phone
(609) 597-5515
Fax
(609) 597-6789
NPI assigned
May 2, 2007
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Dr. Thomas Lembo Jr., DPMNPI 1477645844
Title
Owner
Phone
(609) 597-5515

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00277600 NJ Primary

Addresses

Primary practice location

1100 Route 72 W
Suite 307
Manahawkin, NJ 08050-2468

Mailing address

1100 Route 72 West
Suite 307
Manahawkin, NJ 08050
Phone (609) 597-5515

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040930000258 NJ Part B Supplier - Clinic/Group Practice 1951370550 Receives reassigned benefits from 1 practitioner
Practice locations: Manahawkin, NJ
O20100930069308 NJ DME Supplier - Physician - Podiatry 1951370550 Practice locations: Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

1100 Route 72 W
Ste 307
Manahawkin, NJ 08050
Phone (609) 597-5515

1301 Route 72 W
Ste 270
Manahawkin, NJ 08050
Phone (609) 597-5515

Practitioners & affiliated clinicians

Practitioners 2

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1730300856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 72 WEST",
            "address_2": "SUITE 307",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-597-5515",
            "fax_number": "609-597-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 72 W",
            "address_2": "SUITE 307",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502468",
            "telephone_number": "609-597-5515",
            "fax_number": "609-597-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FOOT & ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "LEMBO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-597-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00277600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.