Active NPI
KBF Foot and Ankle Surgeons PA
- Podiatrist
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00216600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John P Fritz, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00216600 | NJ | Primary |
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3096203 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
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 PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Ewing, NJ
- NPI 1225354939
-
- Podiatrist
- Newark, NJ
- NPI 1962728675
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.
-
- Podiatrist
- Livingston, NJ
- NPI 1588691430
-
- Podiatrist
- Livingston, NJ
- NPI 1033147855
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.