Lakewood Foot and Ankle Specialist, LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

25MD00332400

Legal business name

LAKEWOOD FOOT AND ANKLE SPECIALIST, LLC

Practice address

1700 Madison Ave
Lakewood, NJ 08701-1253

Phone

(732) 367-5151

Fax

(732) 905-5160

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Marilyn Smith

Title

Office Manager

Phone

(732) 367-5151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/64878668-706f-45bc-9263-a39f3c254f68/

Practitioners 1

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

• Glenn Michael Aufseeser, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, NJ
  • NPI 1558590299
  Medicare reassignment NPD

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1770088890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011253",
            "telephone_number": "732-367-5151",
            "fax_number": "732-905-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011253",
            "telephone_number": "732-367-5151",
            "fax_number": "732-905-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD FOOT AND ANKLE SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-367-5151"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": "25MD00332400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakewood Dental Associates, LLC
• Lakewood Dialysis Services, LLC (Lakewood Dialysis Services)
• Lakewood Family and Cosmetic Dental Care, PC
• Lakewood Family Dental
• Lakewood First Aid & Emergency Squad Inc.
• Lakewood Foot and Ankle Specialists
• Lakewood Hatzolah, LLC
• Lakewood Hospitalists
• Lakewood Immediate Care
• Lakewood Kids and Adolescent Dentistry

• Primary Podiatric Medicine Podiatrist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Primary Podiatric Medicine Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.