Organization Active NPI

Achilles Foot and Ankle Associates, P.a.

  • Primary Podiatric Medicine Podiatrist
  • Manahawkin, NJ
National Provider Identifier
1962587519
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
ACHILLES FOOT AND ANKLE ASSOCIATES, P.A.
Practice address
1145 Beacon Ave
Manahawkin, NJ 08050-2471
Phone
(609) 597-6688
Fax
(609) 597-9907
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Jeffrey A. Mazzatta, DPMNPI 1417059304
Title
Doctor
Phone
(609) 597-6688

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
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X NJ Primary

Addresses

Primary practice location

1145 Beacon Ave
Manahawkin, NJ 08050-2471

Mailing address

1145 Beacon Ave
Manahawkin, NJ 08050-2471
Phone (609) 597-6688

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060309000721 NJ Part B Supplier - Clinic/Group Practice 2163439506 Receives reassigned benefits from 2 practitioners
Practice locations: Galloway, NJ; Manahawkin, NJ
O20100930067723 NJ DME Supplier - Physician - Podiatry 2163439506 Practice locations: Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

1145 Beacon Ave
Manahawkin, NJ 08050
Phone (609) 597-1991

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1962587519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BEACON AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502471",
            "telephone_number": "609-597-6688",
            "fax_number": "609-597-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BEACON AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502471",
            "telephone_number": "609-597-6688",
            "fax_number": "609-597-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHILLES FOOT AND ANKLE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "MAZZATTA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "609-597-6688",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.