Central Jersey Center for Foot & Ankle Surgery, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MD01290 Issued in NJ

Legal business name

CENTRAL JERSEY CENTER FOR FOOT & ANKLE SURGERY, LLC

Practice address

655 Shrewsbury Ave
Suite 207
Shrewsbury, NJ 07702-4151

Phone

(732) 741-5500

Fax

(732) 741-5560

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. George J Fahoury Jr., DPMNPI 1295872661

Title

Owner

Phone

(732) 741-5500

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

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.

• George J Fahoury Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Shrewsbury, NJ
  • NPI 1295872661
  Medicare reassignment NPD Authorized official
• Alexis Parcells, M.D.

  • Plastic Surgery Physician
  • Spring Lake, NJ
  • NPI 1659662179
  NPD

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1952396335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE",
            "address_2": "SUITE 207",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024151",
            "telephone_number": "732-741-5500",
            "fax_number": "732-741-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE",
            "address_2": "SUITE 207",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024151",
            "telephone_number": "732-741-5500",
            "fax_number": "732-741-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY CENTER FOR FOOT & ANKLE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "FAHOURY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-741-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD01290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "PC1661",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "MS306",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480028355",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "0K8685",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1393600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Elmo Cauda, MD FACS
• Ileana Larrauri Cavanagh, D.M.D.
• Rainnier M Centeno, PH.D
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• Justyna M Cerefin, PA-C
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• Jennifer Champion
• Jennifer Lynne Chaney, M.S.W LCSW

• Foot & Ankle Surgery Podiatrist in Shrewsbury, NJ
• Providers in Shrewsbury, 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 Jun 17, 2009; 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.