Organization Active NPI

KBF Foot and Ankle Surgeons PA

  • Podiatrist
  • Livingston, NJ
National Provider Identifier
1912911710
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00216600 Issued in NJ
Legal business name
KBF FOOT AND ANKLE SURGEONS PA
Practice address
114 W Mount Pleasant Ave
Livingston, NJ 07039-2932
Phone
(973) 994-2323
Fax
(973) 994-1970
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Dr. John P Fritz, DPMNPI 1588691430
Title
Secretary KBF Foot and Ankle Surgeo
Phone
(973) 465-1717

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 25MD00216600 NJ Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 25MD00206300 NJ

Addresses

Primary practice location

114 W Mount Pleasant Ave
Livingston, NJ 07039-2932

Mailing address

114 W Mount Pleasant Ave
Livingston, NJ 07039-2932
Phone (973) 994-2323

Other identifiers 1

IdentifierTypeStateIssuer
3096203MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081107000595 NJ Part B Supplier - Clinic/Group Practice 5496814261 Receives reassigned benefits from 2 practitioners
Practice locations: Bordentown, NJ; Ewing, NJ; Livingston, NJ; Newark, NJ
O20100930053411 NJ DME Supplier - Physician - Podiatry 5496814261 Practice locations: Livingston, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
KBF Foot Ankle Surgeons PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1450 Parkside Ave
Ste 26
Ewing, NJ 08638
Phone (609) 406-9363

114 W Mount Pleasant Ave
Livingston, NJ 07039
Phone (973) 994-2323

254 Walnut St
Newark, NJ 07105
Phone (973) 465-1717

2 Ferry St
Newark, NJ 07105
Phone (973) 589-0373

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1912911710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MOUNT PLEASANT AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392932",
            "telephone_number": "973-994-2323",
            "fax_number": "973-994-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MOUNT PLEASANT AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392932",
            "telephone_number": "973-994-2323",
            "fax_number": "973-994-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBF FOOT AND ANKLE SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SECRETARY KBF FOOT AND ANKLE SURGEO",
        "authorized_official_telephone_number": "973-465-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00216600",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00206300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3096203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.