Organization Active NPI

West Milford Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • West Milford, NJ
National Provider Identifier
1962090969
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
WEST MILFORD FOOT AND ANKLE SPECIALISTS LLC
Practice address
1485 Union Valley Rd Ste C
West Milford, NJ 07480-1317
Phone
(973) 728-2211
Fax
(973) 728-2237
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. Mohan Mensah, DPMNPI 1942653860
Title
Member
Phone
(919) 519-8806

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1485 Union Valley Rd Ste C
West Milford, NJ 07480-1317

Mailing address

1485 Union Valley Rd Ste C
West Milford, NJ 07480-1317
Phone (973) 728-2211

Other identifiers 1

IdentifierTypeStateIssuer
6536520MedicaidPA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210119000015 NJ Part B Supplier - Clinic/Group Practice 3072926773 Receives reassigned benefits from 1 practitioner
Practice locations: West Milford, NJ
O20210223001239 NJ DME Supplier - Physician - Podiatry 3072926773 Practice locations: West Milford, NJ

National Provider Directory

National Provider Directory

Locations

1485 Union Valley Rd
Ste C
West Milford, NJ 07480
Phone (973) 728-2211

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": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1962090969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 UNION VALLEY RD STE C",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801317",
            "telephone_number": "973-728-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 UNION VALLEY RD STE C",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801317",
            "telephone_number": "973-728-2211",
            "fax_number": "973-728-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MILFORD FOOT AND ANKLE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-519-8806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6536520",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.