Organization Active NPI

Advance Foot Care, LLC

  • Foot & Ankle Surgery Podiatrist
  • Belleville, NJ
National Provider Identifier
1740690874
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00319100 Issued in NJ
Legal business name
ADVANCE FOOT CARE, LLC
Practice address
192 Branch Brook Dr
Belleville, NJ 07109-3607
Phone
(347) 350-3802
Fax
(973) 528-8088
NPI assigned
Apr 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Dr. Antonious W Eskandar, DPMNPI 1982846911
Title
Podiatrist
Phone
(347) 350-3802

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00319100 NJ Primary

Addresses

Primary practice location

192 Branch Brook Dr
Belleville, NJ 07109-3607

Mailing address

192 Branch Brook Dr
Belleville, NJ 07109-3607
Phone (347) 350-3802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140714000703 NJ Part B Supplier - Clinic/Group Practice 1153546809 Receives reassigned benefits from 1 practitioner
Practice locations: West Orange, NJ; Irvington, NJ

National Provider Directory

National Provider Directory

Locations

90 Washington St
Ste 308
East Orange, NJ 07017
Phone (844) 273-3428

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10237/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1740690874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 BRANCH BROOK DR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093607",
            "telephone_number": "347-350-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 BRANCH BROOK DR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093607",
            "telephone_number": "347-350-3802",
            "fax_number": "973-528-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE FOOT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "ESKANDAR",
        "authorized_official_first_name": "ANTONIOUS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "347-350-3802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00319100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.