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Foot & Ankle Center of Sj

NPI 1770116816ActiveOrganization· Podiatrist· Hammonton, NJ

Podiatrist in Hammonton, New Jersey, registered in NPPES in February 2020. The authorized official on file is Mary Alice Mangano, Office Manager. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.

Overview

NPI1770116816
StatusActive
Entity typeOrganization
NPI issuedFeb 18, 2020
Last updated in NPPESFeb 25, 2026
Certified by providerFeb 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist Primary213E00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No 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)

Medicare sources and data years

Other Podiatrist providers in Hammonton

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