Individual provider Active NPI

James Giannakaros, DPM

  • Foot & Ankle Surgery Podiatrist
  • Little Egg Harbor TWP, NJ
National Provider Identifier
1750325684
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD 002520 Issued in NJ
Practice address
1 Leifried LN
Suite B
Little Egg Harbor TWP, NJ 08087-2000
Phone
(609) 294-2666
Fax
(609) 294-0606
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD 002520 NJ Primary

Addresses

Primary practice location

1 Leifried LN
Suite B
Little Egg Harbor TWP, NJ 08087-2000

Mailing address

1 Leifried LN
Suite B
Little Egg Harbor TWP, NJ 08087-2000
Phone (609) 294-2666

Other identifiers 3

IdentifierTypeStateIssuer
4966800001OtherNJMEDICARE NSC
8138702MedicaidNJ
MD 002520OtherNJNJ LICENSE

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
I20040218000109 NJ Practitioner - Podiatry 7012820046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Leifried LN
Suite B
Little Egg Harbor TWP, NJ 08087-2000
Phone (609) 294-2666

Hospital & facility affiliations

  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue197
Removal of skin lesions12
Removal of nail tissue843
Removal or shaving of skin growth393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD 002520NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Foot & Ankle, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2004 Accepting new patients
Ocean Foot and Ankle, PC Foot & Ankle Surgery CurrentSince Oct 1, 2003 Accepting new patients

Locations

1 Leifried Ln
Ste B
Little Egg Harbor Twp, NJ 08087
Phone (609) 294-2666

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

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1750325684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEIFRIED LN",
            "address_2": "SUITE B",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080872000",
            "telephone_number": "609-294-2666",
            "fax_number": "609-294-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEIFRIED LN",
            "address_2": "SUITE B",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080872000",
            "telephone_number": "609-294-2666",
            "fax_number": "609-294-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNAKAROS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD 002520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "4966800001",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8138702",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "MD 002520",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Egg Harbor TWP, NJ

Sources for this page

Verify at the official NPI Registry.