Organization Active NPI

Kadin Foot & Ankle Center PC

  • Foot & Ankle Surgery Podiatrist
  • Delran, NJ
National Provider Identifier
1760760771
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KADIN FOOT & ANKLE CENTER PC
Practice address
8008 Route 130
Suite 310
Delran, NJ 08075-1869
Phone
(856) 393-8771
Fax
(856) 393-8767
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Dr. Nicole Kaiser, DPMNPI 1124282736
Title
Podiatrist
Phone
(856) 889-6062

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 Primary

Addresses

Primary practice location

8008 Route 130
Suite 310
Delran, NJ 08075-1869

Mailing address

8008 Route 130
Suite 310
Delran, NJ 08075-1869
Phone (856) 393-8771

Other identifiers 1

IdentifierTypeStateIssuer
6603550001OtherNJDME

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111007000580 NJ Part B Supplier - Clinic/Group Practice 7214108265 Receives reassigned benefits from 4 practitioners
Practice locations: Camden, NJ; Delran, NJ; Hainesport, NJ; Medford, NJ
O20111123000062 NJ DME Supplier - Physician - Podiatry 7214108265 Practice locations: Delran, NJ

National Provider Directory

National Provider Directory

Locations

8008 Route 130
#310B
Delran, NJ 08075

Practitioners & affiliated clinicians

Practitioners 4

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": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1760760771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 ROUTE 130",
            "address_2": "SUITE 310",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751869",
            "telephone_number": "856-393-8771",
            "fax_number": "856-393-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 ROUTE 130",
            "address_2": "SUITE 310",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751869",
            "telephone_number": "856-393-8771",
            "fax_number": "856-393-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADIN FOOT & ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "856-889-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "6603550001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.