DR. ALFRED J. IEZZI JR. PC (NPI# 1154481232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154481232 |
| Entity Type | Organization |
| Organization Name | DR. ALFRED J. IEZZI JR. PC |
| Practice Address |
3101 Sunset Ave Longport NJ 08403-1436 |
| Practice Telephone | 6093358275 |
| Mailing Telephone | 6093358275 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALFRED J IEZZI (OWNER) |
| Authorized Official Telephone | 6093358275 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
MD1211 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE MED LIC | MD1211 | 01 |
| NJ | 2263009 | 05 |
| Street Address |
3101 SUNSET AVE |
| City | LONGPORT |
| State | NJ |
| Zip Code | 08403-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699046151 | Natalie Yolanda Stacchini | Clinical Nurse Specialist | 102 N Evergreen Avenue, Longport, NJ 08403 | 2012-01-14 |
| 1346448628 | Rosalie Marie Albergo | Pharmacist | 1603 Atlantic Ave, Longport, NJ 08403-1001 | 2007-07-06 |
| 1174929822 | Nicole Dowell | Occupational Therapist | 1600 Atlantic Ave Apt 48, Longport, NJ 08403-1065 | 2014-11-07 |
| 1578736823 | Concetta Marie Renkun | Pediatrics | 32 N 32nd Ave, Longport, NJ 08403-1524 | 2008-04-08 |
| 1154594414 | Chester John Renkun | Pediatrics | 32 N 32nd Ave, Longport, NJ 08403-1524 | 2008-04-08 |
| 1427197045 | Diane Jannotta | Registered Nurse | 115 N 34th Ave, Longport, NJ 08403-1622 | 2007-02-06 |
| 1942643499 | Quality Surgical Assisting Limited Liability Company | Registered Nurse | 115 N 34th Ave, Longport, NJ 08403-1622 | 2013-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174929822 | Nicole Dowell | Occupational Therapist | 1600 Atlantic Ave Apt 48, Longport, NJ 08403-1065 | 2014-11-07 |
| 1699046151 | Natalie Yolanda Stacchini | Clinical Nurse Specialist | 102 N Evergreen Avenue, Longport, NJ 08403 | 2012-01-14 |
| 1578736823 | Concetta Marie Renkun | Pediatrics | 32 N 32nd Ave, Longport, NJ 08403-1524 | 2008-04-08 |
| 1346448628 | Rosalie Marie Albergo | Pharmacist | 1603 Atlantic Ave, Longport, NJ 08403-1001 | 2007-07-06 |
| 1427197045 | Diane Jannotta | Registered Nurse | 115 N 34th Ave, Longport, NJ 08403-1622 | 2007-02-06 |
| 1942643499 | Quality Surgical Assisting Limited Liability Company | Registered Nurse | 115 N 34th Ave, Longport, NJ 08403-1622 | 2013-04-15 |
| 1154594414 | Chester John Renkun | Pediatrics | 32 N 32nd Ave, Longport, NJ 08403-1524 | 2008-04-08 |
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ALFRED J. IEZZI JR. PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.