Organization Active NPI

North Jersey Foot and Ankle Care, LLC

  • Foot & Ankle Surgery Podiatrist
  • Teaneck, NJ
National Provider Identifier
1841555224
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00308800 Issued in NJ
Legal business name
NORTH JERSEY FOOT AND ANKLE CARE, LLC
Practice address
179 Cedar LN
D-2
Teaneck, NJ 07666-4304
Phone
(201) 836-2663
NPI assigned
Jul 11, 2012
Last updated
Jan 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Dr. Marc Strulowitz, D.P.M.NPI 1891094090
Title
Owner
Phone
(201) 638-7494

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00308800 NJ
Public Medicine Podiatrist 213EP0504X 25MD00308800 NJ
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00308800 NJ
Radiology Podiatrist 213ER0200X 25MD00308800 NJ
Sports Medicine Podiatrist 213ES0000X 25MD00308800 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00308800 NJ Primary
Foot Surgery Podiatrist 213ES0131X 25MD00308800 NJ

Addresses

Primary practice location

179 Cedar LN
D-2
Teaneck, NJ 07666-4304

Mailing address

179 Cedar LN
D-2
Teaneck, NJ 07666-4304

Other identifiers 1

IdentifierTypeStateIssuer
DT0348OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120820000378 NJ Part B Supplier - Clinic/Group Practice 8921254301 Receives reassigned benefits from 2 practitioners
Practice locations: Teaneck, NJ
O20140910001636 NJ DME Supplier - Physician - General Practice 8921254301 Practice locations: Teaneck, NJ

National Provider Directory

National Provider Directory

Locations

811 Grange Rd
Teaneck, NJ 07666
Phone (201) 836-7173

Practitioners & affiliated clinicians

Practitioners 4

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": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1841555224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 CEDAR LN",
            "address_2": "D-2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 CEDAR LN",
            "address_2": "D-2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664304",
            "telephone_number": "201-836-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY FOOT AND ANKLE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "STRULOWITZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-638-7494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00308800",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "NJ",
            "license": "25MD00308800",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00308800",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NJ",
            "license": "25MD00308800",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NJ",
            "license": "25MD00308800",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00308800",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00308800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DT0348",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.