Elizabeth Anthony (NPI# 1053730143, PAC ID# 5698046787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1053730143 |
| PAC ID by PECOS | 5698046787 |
| Professional Enrollment ID | I20170808002891 |
| Full Name | Elizabeth Anthony |
| Organization Legal Name | INNOVATIVE FOOT AND ANKLE PA |
| Address |
528 Boulevard Kenilworth NJ 07033-1657 |
| Phone Number | 9082766624 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7315950268 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310076 | SAINT BARNABAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 528 Boulevard, Kenilworth, NJ 07033-1657 | 9082766624 | INNOVATIVE FOOT AND ANKLE PA |
| Organization Legal Name | INNOVATIVE FOOT AND ANKLE PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Bittar | Podiatry | Innovative Foot and Ankle Pa | 877 Broadway, Bayonne, NJ 07002-3197 |
| Vasiliki Rallatos-drake | Physical Therapy | Innovative Foot and Ankle Pa | 528 Boulevard, Kenilworth, NJ 07033-1657 |
| Sean L Kaufman | Podiatry | Innovative Foot and Ankle Pa | 528 Boulevard, Kenilworth, NJ 07033-1657 |
| Kaitlin Dpm Gonzales | Podiatry | Innovative Foot and Ankle Pa | 877 Broadway, Bayonne, NJ 07002-3197 |
| Michael Rallatos | Podiatry | Innovative Foot and Ankle Pa | 528 Boulevard, Kenilworth, NJ 07033-1657 |
| Kristen Westra | Physical Therapy | Innovative Foot and Ankle Pa | 528 Boulevard, Kenilworth, NJ 07033-1657 |
| Street Address |
528 BOULEVARD |
| City | KENILWORTH |
| State | NJ |
| Zip | 07033-1657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vasiliki Rallatos-drake | Physical Therapy | Innovative Foot and Ankle Pa | 528 Boulevard, Kenilworth, NJ 07033-1657 |
| Sean L Kaufman | Podiatry | Innovative Foot and Ankle Pa | 528 Boulevard, Kenilworth, NJ 07033-1657 |
| Michael Rallatos | Podiatry | Innovative Foot and Ankle Pa | 528 Boulevard, Kenilworth, NJ 07033-1657 |
| Kristen Westra | Physical Therapy | Innovative Foot and Ankle Pa | 528 Boulevard, Kenilworth, NJ 07033-1657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eduardo M Trujillo | Physical Therapy | 504 Washington Ave, Kenilworth, NJ 07033-1200 | |
| Domenica M Barritta | Gastroenterology | Nj Gastro, LLC | 1700 Galloping Hill Rd, Kenilworth, NJ 07033-1303 |
| Dhanmatie Baldeo-dat | Nurse Practitioner | Nj Gastro, LLC | 1700 Galloping Hill Rd, Kenilworth, NJ 07033-1303 |
| Eliezer Y Weiss | Gastroenterology | Nj Gastro, LLC | 1700 Galloping Hill Rd, Kenilworth, NJ 07033-1303 |
| Ryan P Brown | Nephrology | Practice Associates Medical Group | 131 S 31st St, Kenilworth, NJ 07033-1331 |
| Philip S. Klein | Nephrology | Practice Associates Medical Group | 131 S 31st St, Kenilworth, NJ 07033-1331 |
| Lois G Fiore | Optometry | 505 Boulevard, Kenilworth, NJ 07033-1603 | |
| Bhavani Jeereddy | Internal Medicine | 66 S 21st St, Kenilworth, NJ 07033-1626 | |
| James Agresti | Nephrology | 609 Boulevard, Kenilworth, NJ 07033-1639 | |
| Maria Nisperos | Physical Therapy | East Coast Rehabilitation Services LLC | 552 Boulevard, Kenilworth, NJ 07033-1655 |
| Find all physicians in zip 07033 | |||
| City | KENILWORTH |
| Zip Code | 07033 |
| Specialty | PODIATRY |
| City + Specialty | KENILWORTH + PODIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.