Organization Active NPI

Ambulatory Foot and Ankle Associates LLC

  • Podiatrist
  • Mount Laurel, NJ
National Provider Identifier
1942215579
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00112000 Issued in NJ
Legal business name
AMBULATORY FOOT AND ANKLE ASSOCIATES LLC
Practice address
2059 Briggs Rd
Suite 308
Mount Laurel, NJ 08054-4640
Phone
(856) 234-5180
Fax
(856) 234-3230
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Dr. Howard Sanford Abramsohn, D.P.M.NPI 1578577888
Title
Ceo, President
Phone
(856) 234-5180

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00112000 NJ Primary

Addresses

Primary practice location

2059 Briggs Rd
Suite 308
Mount Laurel, NJ 08054-4640

Mailing address

2059 Briggs Rd
Suite 308
Mount Laurel, NJ 08054-4640
Phone (856) 234-5180

Other identifiers 1

IdentifierTypeStateIssuer
3013103MedicaidNJ

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060502000603 NJ Part B Supplier - Clinic/Group Practice 6901849199 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Laurel, NJ
O20180507002574 NJ DME Supplier - Physician - Podiatry 6901849199 Practice locations: Mount Laurel, NJ

National Provider Directory

National Provider Directory

Locations

701 E Main St
Moorestown, NJ 08057
Phone (856) 234-5180

2059 Briggs Rd
Ste 308
Mount Laurel, NJ 08054
Phone (856) 234-5180

2301 E Evesham Rd
Ste 201
Voorhees, NJ 08043
Phone (856) 234-5180

Practitioners & affiliated clinicians

Practitioners 1

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1942215579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 BRIGGS RD",
            "address_2": "SUITE 308",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544640",
            "telephone_number": "856-234-5180",
            "fax_number": "856-234-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 BRIGGS RD",
            "address_2": "SUITE 308",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544640",
            "telephone_number": "856-234-5180",
            "fax_number": "856-234-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY FOOT AND ANKLE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "ABRAMSOHN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "SANFORD",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "856-234-5180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00112000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.