Pat Foot & Ankle Surgical Specialist LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PAT FOOT & ANKLE SURGICAL SPECIALIST LLC

Practice address

1 NE 167TH St
North Miami Beach, FL 33162-3402

Phone

(305) 432-9565

Fax

(305) 432-9567

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Pooneh Alaei Taleghani, DPM

Title

Owner

Phone

(404) 643-8641

Specialties & licenses 1

Addresses

Other names 1

• PAT FOOT & ANKLE SURGICAL SPECIALIS Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Pooneh Alaei Taleghani

  • Podiatrist
  • Orlando, FL
  • NPI 1790275931

  Foot & Ankle Surgery

  Medicare reassignment NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1861275331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623402",
            "telephone_number": "305-432-9565",
            "fax_number": "305-432-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623402",
            "telephone_number": "305-432-9565",
            "fax_number": "305-432-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT FOOT & ANKLE SURGICAL SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "TALEGHANI",
        "authorized_official_first_name": "POONEH",
        "authorized_official_middle_name": "ALAEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-643-8641",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAT FOOT & ANKLE SURGICAL SPECIALIS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PAT FOOT & ANKLE SURGICAL SPECIALIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.