Provider Demographics
NPI:1922009356
Name:BURLINGTON COUNTY FOOT & ANKLE ASSOC, INC
Entity Type:Organization
Organization Name:BURLINGTON COUNTY FOOT & ANKLE ASSOC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEPALMA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:609-714-0052
Mailing Address - Street 1:520 STOKES ROAD
Mailing Address - Street 2:SUITE C-5
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055
Mailing Address - Country:US
Mailing Address - Phone:609-714-0052
Mailing Address - Fax:609-714-3087
Practice Address - Street 1:520 STOKES ROAD
Practice Address - Street 2:SUITE C-5
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055
Practice Address - Country:US
Practice Address - Phone:609-714-0052
Practice Address - Fax:609-714-3087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000059327OtherAMERIHEALTH ADMINISTRATOR
0022161000OtherKEYSTONE EAST
0022161000OtherAMERIHEALTH
0000059327OtherBC/BS PERSONAL CHOICE
DA3758OtherRR MEDICARE
=========OtherHORIZON BC/BS
=========OtherBENEFIT CONCEPTS
=========OtherTRICARE
=========OtherCORP HEALTH ADMIN
=========OtherCOMP SERVICES
0000059327OtherBC/BS PERSONAL CHOICE
0022161000OtherAMERIHEALTH
=========OtherGEHA
=========OtherCOMMONWLTH HLTH ALLIANCE
0022161000OtherKEYSTONE EAST
=========OtherPPN
=========OtherPOSTMASTERS
DA3758OtherRR MEDICARE
NJ4623650001Medicare NSC
=========OtherPPN