Active NPI
Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Podiatrist
- Newport, PA
National Provider Identifier
1770124786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
- Practice address
- 300 Bretz CT
Newport, PA 17074-8614 - Phone
- (717) 651-0000
- Fax
- (717) 651-0001
- NPI assigned
- Oct 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Tritto
- Title
- Partner
- Phone
- (301) 933-7133
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
300 Bretz CT
Newport, PA 17074-8614
Mailing address
PO Box 825159
Philadelphia, PA 19182-5159
Phone (301) 933-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191210002191 | PA | DME Supplier - Physician - Podiatry | 6305017633 | Practice locations: Newport, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Foot and Ankle Specialists of the Mid-Atlantic LLC
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Podiatrist
- Gettysburg, PA
- NPI 1275023186
-
- Podiatrist
- Harrisburg, PA
- NPI 1336780345
-
- Podiatrist
- Greencastle, PA
- NPI 1417447335
-
- Podiatrist
- Mechanicsburg, PA
- NPI 1417598426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1770124786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 825159",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191825159",
"telephone_number": "301-933-7133",
"fax_number": "301-933-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BRETZ CT",
"city": "NEWPORT",
"state": "PA",
"postal_code": "170748614",
"telephone_number": "717-651-0000",
"fax_number": "717-651-0001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-01",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "TRITTO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "301-933-7133"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.