Organization 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
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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 EDUCATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

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.

Verify at the official NPI Registry.