Organization Active NPI

Affiliated Foot Surgeons, PA

  • Podiatrist
  • Bayonne, NJ
National Provider Identifier
1962430645
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD01371 Issued in NJ
Legal business name
AFFILIATED FOOT SURGEONS, PA
Practice address
70 W 32ND St
Bayonne, NJ 07002-2850
Phone
(973) 616-7117
Fax
(973) 616-7338
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Peter F Rossi, DPMNPI 1760410153
Title
Owner
Phone
(973) 616-7117

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 MD01371 NJ Primary

Addresses

Primary practice location

70 W 32ND St
Bayonne, NJ 07002-2850

Mailing address

70 W 32ND St
Bayonne, NJ 07002-2850
Phone (973) 616-7117

Other identifiers 1

IdentifierTypeStateIssuer
9073302MedicaidNJ

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080124000527 NJ Part B Supplier - Clinic/Group Practice 7012099476 Receives reassigned benefits from 1 practitioner
Practice locations: Bayonne, NJ
O20100930092385 NJ DME Supplier - Physician - Podiatry 7012099476 Practice locations: Bayonne, NJ

National Provider Directory

National Provider Directory

Locations

70 W 32nd St
Bayonne, NJ 07002
Phone (201) 339-1833

263 Washington Ave
Dumont, NJ 07628
Phone (201) 384-0300

Practitioners & affiliated clinicians

Practitioners 2

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1962430645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W 32ND ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022850",
            "telephone_number": "973-616-7117",
            "fax_number": "973-616-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W 32ND ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022850",
            "telephone_number": "973-616-7117",
            "fax_number": "973-616-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED FOOT SURGEONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-616-7117",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9073302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.