Whiting Foot & Ankle,LLC

Organization Active NPI Foot Surgery Podiatrist · Whiting, NJ

NPI 1881820199 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1881820199
Entity type
Organization (NPI type 2)
Primary specialty
Foot Surgery Podiatrist 213ES0131X
License
25MD00291800 (NJ)
Legal business name
WHITING FOOT & ANKLE,LLC
Practice address
550 Route 530 Ste 19a
Whiting, NJ 08759-3140
Phone
(732) 716-1300
Fax
(732) 716-1290
NPI assigned
Jun 2, 2009
Organization subpart
No

Authorized official

Name
Anita Robertozzi, DPM NPI 1457559973
Title
Physician
Phone
(732) 716-1300

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

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060310000013 NJ Part B Supplier - Clinic/Group Practice 3577587138 Receives reassigned benefits from 1 practitioner
Practice locations: Whiting, NJ

National Provider Directory

Locations

550 Route 530
Ste 19A
Whiting, NJ 08759
Phone (732) 546-2362

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213ES0131X 25MD00291800 NJ Yes

Addresses

Primary practice location

550 Route 530 Ste 19a
Whiting, NJ 08759-3140

Mailing address

550 Route 530
Suite 19a
Whiting, NJ 08759-3052
Phone (732) 716-1300

Other providers in Whiting, NJ

All providers in Whiting, NJ · Foot Surgery Podiatrist in New Jersey

Sources for this page

Verify at the official NPI Registry.