Preferred Foot and Ankle Center PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC006504 Issued in PA

Legal business name

PREFERRED FOOT AND ANKLE CENTER PC

Practice address

4 Rose Ave
Feasterville Trevose, PA 19053-4324

Phone

(215) 355-7555

Fax

(267) 352-4032

NPI assigned

Sep 26, 2016

Last updated

Mar 3, 2023By 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

Elza Tyshko, DPMNPI 1316387608

Title

Podiatrist

Phone

(215) 355-7555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20444/brand/1/csg/1/fhir/r4

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.

• Elza Tyshko, DPM

  • Foot & Ankle Surgery Podiatrist
  • Feasterville Trevose, PA
  • NPI 1316387608
  Medicare reassignment Care Compare group NPD Authorized official
• Payal Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Voorhees, NJ
  • NPI 1730676693
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1902355423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROSE AVE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534324",
            "telephone_number": "215-355-7555",
            "fax_number": "267-352-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ROSE AVE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534324",
            "telephone_number": "215-355-7555",
            "fax_number": "267-352-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FOOT AND ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "TYSHKO",
        "authorized_official_first_name": "ELZA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "215-355-7555",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Pfannenstiel, D.D.S. ,F.A.G.D.
• Nishita Philip
• Solomia Ponomarenko, CRNP
• Brianna Postorino, MS, CCC-SLP
• Practitioner LLC (NP Medicine)
• Hapsatu Prendergast, MA, LBS
• Primary Choice Coordination LLC
• Professional Hospice Care, Inc.
• Promedeq Inc
• Proud Health Inc.

• Foot & Ankle Surgery Podiatrist in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.