Ankle & Foot Surgery, PA
NPI 1972761435ActiveOrganization· Podiatrist· Denville, NJ
Podiatrist in Denville, New Jersey, registered in NPPES in May 2008. The authorized official on file is Dean Peter Licopantis, DPM, Podiatrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972761435 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2008 |
| Last updated in NPPES | Nov 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 25MD00187700 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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