NPIMap

Organization Active NPI

Edgewater Foot and Ankle Associates, PC

  • Foot & Ankle Surgery Podiatrist
  • Edgewater, NJ
National Provider Identifier
1992993018
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
EDGEWATER FOOT AND ANKLE ASSOCIATES, PC
Practice address
968 River Rd
Suite 100
Edgewater, NJ 07020-2237
Phone
(201) 224-8300
Fax
(810) 958-2764
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Jeffrey Miller, DPMNPI 1093825861
Title
Owner
Phone
(201) 224-8300

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

968 River Rd
Suite 100
Edgewater, NJ 07020-2237

Mailing address

968 River Rd
Suite 100
Edgewater, NJ 07020-2237
Phone (201) 224-8300

National Provider Directory

National Provider Directory

Locations

968 River Rd
Ste 100
Edgewater, NJ 07020
Phone (201) 224-8300

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": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1992993018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 RIVER RD",
            "address_2": "SUITE 100",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202237",
            "telephone_number": "201-224-8300",
            "fax_number": "810-958-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 RIVER RD",
            "address_2": "SUITE 100",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202237",
            "telephone_number": "201-224-8300",
            "fax_number": "810-958-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER FOOT AND ANKLE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-224-8300",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.