Provider Demographics
NPI:1881820199
Name:WHITING FOOT & ANKLE,LLC
Entity Type:Organization
Organization Name:WHITING FOOT & ANKLE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-716-1300
Mailing Address - Street 1:550 ROUTE 530
Mailing Address - Street 2:SUITE 19A
Mailing Address - City:WHITING
Mailing Address - State:NJ
Mailing Address - Zip Code:08759-3052
Mailing Address - Country:US
Mailing Address - Phone:732-716-1300
Mailing Address - Fax:732-716-1290
Practice Address - Street 1:550 ROUTE 530 STE 19A
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:NJ
Practice Address - Zip Code:08759-3140
Practice Address - Country:US
Practice Address - Phone:732-716-1300
Practice Address - Fax:732-716-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00291800213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty