New Jersey Foot and Ankle Specialists LLC
NPI 1508130873ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Wayne, NJ
Podiatrist, Foot & Ankle Surgery in Wayne, New Jersey, registered in NPPES in March 2012. The authorized official on file is Theodore Roberto, D.P.M., Sole Member, Managing Member. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1508130873 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 2, 2012 |
| Last updated in NPPES | Feb 26, 2020 |
| Certified by provider | Feb 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | 25MD00301200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (NJ); Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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