Gibbons Foot & Ankle Group LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00194800 Issued in NJ

Legal business name

GIBBONS FOOT & ANKLE GROUP LLC

Practice address

8 Auer Court
Suite C & D
East Brunswick, NJ 08816

Phone

(732) 254-2609

Fax

(732) 238-6269

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Thomas J Gibbons, DPMNPI 1154315703

Title

Doctor Owner

Phone

(732) 254-2609

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Thomas J Gibbons, DPM

  • Foot & Ankle Surgery Podiatrist
  • East Brunswick, NJ
  • NPI 1154315703

  Foot & Ankle Surgery, NJ

  Medicare reassignment NPD Authorized official
• Amy Tsun Man Yung, DPM

  • Foot & Ankle Surgery Podiatrist
  • New Haven, CT
  • NPI 1043249758

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1891899092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 AUER COURT",
            "address_2": "SUITE C & D",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-254-2609",
            "fax_number": "732-238-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 AUER COURT",
            "address_2": "SUITE C & D",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-254-2609",
            "fax_number": "732-238-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBONS FOOT & ANKLE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "732-254-2609",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00194800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4602501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP NUMBER",
            "identifier": "099508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Winter Germadnig, OTR/L
• Ggi Health LLC
• Amgad Ghabrial
• Raafat Ghobraiel, M.D.
• Stacy Giannettino, CCC-SLP
• Thomas J Gibbons, DPM
• Deborah Giglio, MSW, LCSW
• Tricia T Gilbert, MD
• Giraldi Foot and Ankle LLC
• Hanaa Girges

• All providers in East Brunswick, NJ
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.