Cedar Grove Foot and Ankle Specialists P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00314900 Issued in NJ

Legal business name

CEDAR GROVE FOOT AND ANKLE SPECIALISTS P.C.

Practice address

882 Pompton Ave Ste B1
Cedar Grove, NJ 07009-1256

Phone

(973) 857-1184

Fax

(973) 857-3114

NPI assigned

Aug 31, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Matthew F. Wachtler, DPMNPI 1376835124

Title

Doctor

Phone

(973) 857-1184

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20803/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Matthew Francis Wachtler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cedar Grove, NJ
  • NPI 1376835124
  Medicare reassignment NPD Authorized official
• Zina B. Cappiello, D.P.M.

  • Podiatrist
  • Cedar Grove, NJ
  • NPI 1134121734
  NPD (past)
• Jeffrey Miller, DPM

  • Podiatrist
  • Clifton, NJ
  • NPI 1093825861
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1952857757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 POMPTON AVE STE B1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091256",
            "telephone_number": "973-857-1184",
            "fax_number": "973-857-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 POMPTON AVE STE B1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091256",
            "telephone_number": "973-857-1184",
            "fax_number": "973-857-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "886 Pompton Ave",
            "address_2": "Suite #A1",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "NJ",
            "postal_code": "070091257",
            "country_code": "US",
            "telephone_number": "973-857-1184",
            "fax_number": "973-857-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEDAR GROVE FOOT AND ANKLE SPECIALISTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "WACHTLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-857-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00314900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Cecilio
• Cedar Grove Board of Education
• Cedar Grove Family Chiropractic Center, LLC
• Cedar Grove Family Chiropractic LLC
• Cedar Grove Foot and Ankle Associates LLC
• Cedar Grove Health LLC
• Cedar Non Medical Transportation
• Jennifer Michelle Celona, M.S., CCC-SLP
• Luciano Centeno, PHARMD
• Center for Children's Therapy

• Foot & Ankle Surgery Podiatrist in Cedar Grove, NJ
• Providers in Cedar Grove, 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 Oct 3, 2022; 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.