Associates in Podiatric Medicine & Surgery, PC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Atlantic City, NJ
NPI 1740340652 · NPPES record last updated Jan 28, 2014
Key facts
- NPI
- 1740340652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- ASSOCIATES IN PODIATRIC MEDICINE & SURGERY, PC
- Practice address
- 4503 Atlantic Ave
Atlantic City, NJ 08401-5733 - Phone
- (609) 344-3900
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark J Twardzik, DPM
- Title
- Partner
- Phone
- (609) 344-3900
Practitioners 2
-
Alfred J Iezzi Jr., DPM
-
Mark J Twardzik, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120215000214 | NJ | Part B Supplier - Clinic/Group Practice | 8820256274 |
Receives reassigned benefits from 2 practitioners Practice locations: Atlantic City, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
4503 Atlantic Ave
Atlantic City, NJ 08401-5733
Mailing address
4503 Atlantic Ave
Atlantic City, NJ 08401-5733
Phone (609) 344-3900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3202101 | Medicaid | NJ |
Other providers in Atlantic City, NJ
- Tracy Anselmo
- Cara Ann Anzulewicz
- Hasita Arekooti
- Maliaka Arif
- Mohammad Ashfaq
- Atlantic City Board of Education
- Atlantic City Gynecology Group
- Atlantic City Renaissance Corporation
- Atlantic City Uscg Phcy
- Atlantic Emergency Associates, PA
All providers in Atlantic City, NJ · Foot & Ankle Surgery Podiatrist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.