High Performance Foot and Ankle, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00269900 Issued in NJ

Legal business name

HIGH PERFORMANCE FOOT AND ANKLE, LLC

Practice address

1903 Atlantic Ave
BLDG C, Ste 3
Manasquan, NJ 08736-1005

Phone

(732) 528-2218

Fax

(732) 528-2234

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Stacey Alana Paukovitz, DPMNPI 1285670539

Title

Owner/Physician

Phone

(732) 330-0924

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Practitioners 1

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

• Stacey A Paukovitz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Manasquan, NJ
  • NPI 1285670539
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1902208044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 ATLANTIC AVE",
            "address_2": "BLDG C, STE 3",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361005",
            "telephone_number": "732-528-2218",
            "fax_number": "732-528-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 ATLANTIC AVE",
            "address_2": "BLDG C, STE 3",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361005",
            "telephone_number": "732-528-2218",
            "fax_number": "732-528-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PERFORMANCE FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "PAUKOVITZ",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ALANA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "732-330-0924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00269900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Ferrette Heine, DPT
• Laura Hennessy
• Carl T Henningson Jr., M.D.
• Kristen Marie Henshaw, M.S., LPC, LCADC
• John E Herbster, DMD
• Timothy Aaron Hill, DPT
• Himsel-Tomalin Counseling Service
• Spencer L. Hoffman, D.C.
• Laura A Hogan, OT
• Shane M Hollawell, D.P.M.

• Foot & Ankle Surgery Podiatrist in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.