Individual provider Active NPI

Elenora Aimee Williams-Fell, DPM

  • Foot Surgery Podiatrist
  • Springfield, NJ
National Provider Identifier
1730302589
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
MD002362 Issued in NJ
Practice address
251 Morris Ave Ste 201
Springfield, NJ 07081-1213
Phone
(973) 886-3862
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X MD002362 NJ Primary

Addresses

Primary practice location

251 Morris Ave Ste 201
Springfield, NJ 07081-1213

Mailing address

251 Morris Ave Ste 201
Springfield, NJ 07081-1213
Phone (973) 886-3862

Other identifiers 1

IdentifierTypeStateIssuer
7040300MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000189 NJ Practitioner - Podiatry 0143361105 Reassigns benefits to 1 organization
Practice locations: Springfield, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
MD002362NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Podiatry PLLC CurrentSince Feb 22, 2016 Accepting new patients
Jason E Hagman DC PC PastSince Mar 1, 2007 Accepting new patients
Icare Internal Medicine Past Accepting new patients

Locations

620 Montgomery St
Jersey City, NJ 07302
Phone (201) 435-0033

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1730302589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MORRIS AVE STE 201",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811213",
            "telephone_number": "973-886-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MORRIS AVE STE 201",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811213",
            "telephone_number": "973-886-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-FELL",
        "first_name": "ELENORA",
        "middle_name": "AIMEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD002362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7040300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.