Tri County Foot & Ankle Center LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

25MD00290800 Issued in NJ

Legal business name

TRI COUNTY FOOT & ANKLE CENTER LLC

Practice address

855 Broadway
Bayonne, NJ 07002-3018

Phone

(201) 535-8978

Fax

(201) 535-8979

NPI assigned

Nov 15, 2007

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Tadros Michael, DPMNPI 1417171638

Title

Owner

Phone

(201) 535-8978

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 10

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 Abadeer, DPM

  • Student in an Organized Health Care Education/Training Program
  • East Orange, NJ
  • NPI 1124640149
  Medicare reassignment Care Compare group NPD
• Jonathan Tadros Michael, DPM

  • Podiatrist
  • Bayonne, NJ
  • NPI 1417171638
  Medicare reassignment NPD Authorized official
• James Anthony Modugno, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monroe Township, NJ
  • NPI 1720423379
  Medicare reassignment Care Compare group NPD
• Nadine Thabata, DPM

  • Podiatrist
  • Bayonne, NJ
  • NPI 1912382888
  Medicare reassignment Care Compare group NPD
• Fulvia Giraldi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bayonne, NJ
  • NPI 1649769241
  Medicare reassignment NPD
• Mina Hanna, DPM

  • Foot & Ankle Surgery Podiatrist
  • Paramus, NJ
  • NPI 1225456593
  Medicare reassignment NPD
• An Xuan Nguyen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hackettstown, NJ
  • NPI 1760800510
  Medicare reassignment NPD
• Priscilla Seshie

  • Podiatrist
  • Bayonne, NJ
  • NPI 1588197602
  Medicare reassignment NPD
• Yeou-Lin Chuang, D.D.S.

  • General Practice Dentistry
  • Clifton, NJ
  • NPI 1003904384
  NPD (past)
• Jacob H Jacoby, MD PHD

  • Psychiatry Physician
  • Bayonne, NJ
  • NPI 1174648232
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1962683235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220476",
            "telephone_number": "201-535-8978",
            "fax_number": "201-535-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023018",
            "telephone_number": "201-535-8978",
            "fax_number": "201-535-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY FOOT & ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "TADROS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-535-8978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "25MD00290800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.