Organization Active NPI

Foot and Ankle Institute of Edison, LLC

Doing business as Affiliated Foot and Ankle Care

  • Foot & Ankle Surgery Podiatrist
  • Edison, NJ
National Provider Identifier
1801274188
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00289700 Issued in NJ
Legal business name
FOOT AND ANKLE INSTITUTE OF EDISON, LLC
Doing business as
Affiliated Foot and Ankle Care
Practice address
2163 Oak Tree Rd
Suite 108
Edison, NJ 08820-1083
Phone
(732) 662-3050
NPI assigned
May 7, 2015
Organization subpart
Yes
Parent organization
NEW JERSEY PODIATRIC PHYSICIAN AND SURGEON GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Dr. Varun Gujral, DPMNPI 1457475519
Title
Owner
Phone
(732) 662-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00289700 NJ Primary

Addresses

Primary practice location

2163 Oak Tree Rd
Suite 108
Edison, NJ 08820-1083

Mailing address

2163 Oak Tree Rd
Suite 108
Edison, NJ 08820-1083
Phone (732) 662-3050

Other identifiers 1

IdentifierTypeStateIssuer
0154342MedicaidNJ

Other names 1

  • Affiliated Foot and Ankle Care Doing business as

National Provider Directory

National Provider Directory
Part of
New Jersey Podiatric Physicians Surgeons Group LLC

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1801274188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 OAK TREE RD",
            "address_2": "SUITE 108",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201083",
            "telephone_number": "732-662-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 OAK TREE RD",
            "address_2": "SUITE 108",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201083",
            "telephone_number": "732-662-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE OF EDISON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW JERSEY PODIATRIC PHYSICIAN AND SURGEON GROUP",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "GUJRAL",
        "authorized_official_first_name": "VARUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-662-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00289700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154342",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Foot and Ankle Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.