Atlantic Foot and Ankle Care PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ATLANTIC FOOT AND ANKLE CARE PC

Practice address

76 W Jimmie Leeds Rd
Suite 102
Galloway, NJ 08205-9411

Phone

(609) 404-1300

Fax

(609) 404-1929

NPI assigned

Dec 8, 2006

Last updated

Mar 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara L Kowalewski

Title

Billing Manager

Phone

(856) 753-0913

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• David G Hall, DPM

  • Podiatrist
  • Galloway, NJ
  • NPI 1770670598
  Medicare reassignment NPD
• Jeannette C.a Reilly, DPM

  • Podiatrist
  • Galloway, NJ
  • NPI 1376635458
  Medicare reassignment NPD

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1861551319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD",
            "address_2": "SUITE 203",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059411",
            "telephone_number": "609-404-1300",
            "fax_number": "609-404-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD",
            "address_2": "SUITE 102",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059411",
            "telephone_number": "609-404-1300",
            "fax_number": "609-404-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC FOOT AND ANKLE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "KOWALEWSKI",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "856-753-0913"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7474504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlantic Coast Living Fit Center
• Atlantic Community Charter School
• Atlantic County Family Spine Rehab
• Atlantic Dietitians LLC
• Atlantic Endodontics LLC
• Atlantic Hearth Rhythm Center
• Atlantic Hematology Oncology Group
• Atlantic Integrated Medicine, LLC
• Atlantic Internal Medicine Associates.PA
• Atlantic Medical Imaging

• Podiatrist in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.