Organization Active NPI

Camden County Foot & Ankle Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Haddon Heights, NJ
National Provider Identifier
1780828228
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00145500 Issued in NJ
Legal business name
CAMDEN COUNTY FOOT & ANKLE ASSOCIATES LLC
Practice address
17 White Horse Pike
Suite 10a
Haddon Heights, NJ 08035-1299
Phone
(856) 546-8989
Fax
(856) 546-8905
NPI assigned
Apr 28, 2009
Last updated
Feb 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Jennifer M Berlin, D.P.M.NPI 1740254291
Title
Owner/Podiatrist
Phone
(856) 858-3939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00145500 NJ Primary

Addresses

Primary practice location

17 White Horse Pike
Suite 10a
Haddon Heights, NJ 08035-1299

Mailing address

17 White Horse Pike
Suite 10a
Haddon Heights, NJ 08035-1299
Phone (856) 546-8989

Other identifiers 1

IdentifierTypeStateIssuer
0232165MedicaidNJ

National Provider Directory

National Provider Directory

Locations

17 White Horse Pike
Ste 10A
Haddon Hgts, NJ 08035
Phone (856) 546-8989

795 White Horse Pike
Ste C
Haddon Township, NJ 08107
Phone (856) 858-3939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1780828228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE",
            "address_2": "SUITE 10A",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351299",
            "telephone_number": "856-546-8989",
            "fax_number": "856-546-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE",
            "address_2": "SUITE 10A",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351299",
            "telephone_number": "856-546-8989",
            "fax_number": "856-546-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN COUNTY FOOT & ANKLE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "856-858-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00145500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232165",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.