Provider Demographics
NPI:1013383991
Name:ALLCARE FOOT & ANKLE
Entity Type:Organization
Organization Name:ALLCARE FOOT & ANKLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHENEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-695-3668
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:07750-0083
Mailing Address - Country:US
Mailing Address - Phone:732-695-3668
Mailing Address - Fax:732-784-4286
Practice Address - Street 1:1803 HWY 35
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2974
Practice Address - Country:US
Practice Address - Phone:732-695-3668
Practice Address - Fax:732-784-4286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00323400213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MD00323400OtherSTATE LICENSE