MEDICARE: INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1669274973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC

Provider Business Mailing Address
First Line	:	100 FRONT ST STE 970
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2800
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4503 ATLANTIC AVE
Second Line	:
City	:	ATLANTIC CITY
State	:	NJ
Zip	:	08401-5733
Country	:	US
Telephone Number	:	609-344-3900
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	TERESA LEONARDA CIACCIO
Credential	:
Telephone Number	:	516-993-8666

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/26/2025

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1801965090 — DR. MARK J TWARDZIK DPM
Practice Location Address:

4503 ATLANTIC AVE
ATLANTIC CITY, NJ
08401-5733

Practice Phone: 609-344-3900
Practice Fax: 609-344-8512

1679643340 — DR. ALFRED J IEZZI JR. DPM
Practice Location Address:

4503 ATLANTIC AVE
ATLANTIC CITY, NJ
08401-5733

Practice Phone: 609-344-3900
Practice Fax: 609-344-8512

1740340652 — ASSOCIATES IN PODIATRIC MEDICINE & SURGERY, PC
Practice Location Address:

4503 ATLANTIC AVE
ATLANTIC CITY, NJ
08401-5733

Practice Phone: 609-344-3900
Practice Fax:

1841404498 — JOSEPH A BERRETONE JR. D.M.D.
Practice Location Address:

4503 ATLANTIC AVE
ATLANTIC CITY, NJ
08401-5733

Practice Phone: 609-345-3377
Practice Fax:

1477769511 — TIMOTHY W GOLDING ACUPUNCTURE PHYSICIA
Practice Location Address:

961 LISKEARD AVE
ORANGE CITY, FL
32763-5733

Practice Phone: 386-801-6970
Practice Fax: 386-775-6915

Directions to “INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.