Active NPI
Temple University of the Commonwealth System of Higher Education
Doing business as Temple Foot and Ankle Institute
- Podiatrist
- Philadelphia, PA
National Provider Identifier
1790917243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
- Doing business as
- Temple Foot and Ankle Institute
- Practice address
- 3223 N. Broad Street
Suite 150
Philadelphia, PA 19140-5007 - Phone
- (215) 238-6600
- Fax
- (215) 707-9486
- NPI assigned
- Aug 18, 2009
- Organization subpart
- Yes
- Parent organization
- TEMPLE UNVIERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roderick B Jones, MBA, CPA
- Title
- Senior Vice Dean, Finance and Admin
- Phone
- (215) 777-5732
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
3223 N. Broad Street
Suite 150
Philadelphia, PA 19140-5007
Mailing address
3223 N Broad St
Suite 150
Philadelphia, PA 19140
Phone (215) 777-5808
Other names 1
- Temple Foot and Ankle Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040219000333 | PA | Part B Supplier - Clinic/Group Practice | 2961314299 |
Receives reassigned benefits from 19 practitioners This NPI is an additional NPI on the enrollment Practice locations: Philadelphia, PA |
National Provider Directory
National Provider Directory- Part of
- Temple Critical Care As
Locations
148 N 8th St
Philadelphia, PA 19107
Phone (215) 238-6600
3223 N Broad St
Ste 150
Philadelphia, PA 19140
Phone (215) 777-5713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645056000000",
"number": "1790917243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 N BROAD ST",
"address_2": "SUITE 150",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19140",
"telephone_number": "215-777-5808",
"fax_number": "215-707-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 N. BROAD STREET",
"address_2": "SUITE 150",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405007",
"telephone_number": "215-238-6600",
"fax_number": "215-707-9486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TEMPLE UNVIERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION",
"enumeration_date": "2009-08-18",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "RODERICK",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "SENIOR VICE DEAN, FINANCE AND ADMIN",
"authorized_official_telephone_number": "215-777-5732",
"authorized_official_credential": "MBA, CPA"
},
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Temple Foot and Ankle Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Temple Foot and Ankle Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
- Temple University of the Commonwealth System of Higher Education (Temple Internal Medicine Associates MIC)
- Temple University of the Commonwealth System of Higher Education (Temple Metabolism Associate)
- Temple University of the Commonwealth System of Higher Education (Temple Oncology Associates)
- Temple University of the Commonwealth System of Higher Education (Temple Orthopedics & Sports Medicine)
- Temple University of the Commonwealth System of Higher Education (Temple Pediatric Emergency Medical Associates)
- Temple University of the Commonwealth System of Higher Education (Temple Pathology Associates)
- Temple University of the Commonwealth System of Higher Education (Temple Family and Community Medicine)
- Temple University of the Commonwealth System of Higher Education (Temple Pulmonary Associates)
- Temple University of the Commonwealth System of Higher Education (Temple Orthopedics & Sports Med)
- Temple University of the Commonwealth System of Higher Education (Temple Pediatric Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.