Provider Demographics
NPI:1285054320
Name:HEALTHMARK FOOT AND ANKLE ASSOCIATES, PC
Entity type:Organization
Organization Name:HEALTHMARK FOOT AND ANKLE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-565-3668
Mailing Address - Street 1:101 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3037
Mailing Address - Country:US
Mailing Address - Phone:610-565-3668
Mailing Address - Fax:610-565-9722
Practice Address - Street 1:824 MAIN ST
Practice Address - Street 2:SUITE303
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4478
Practice Address - Country:US
Practice Address - Phone:610-933-8644
Practice Address - Fax:610-933-2682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA011262Medicare PIN
PA0478810002Medicare NSC