Provider Demographics
NPI:1811136492
Name:ABSOLUTE FOOT & ANKLE CARE, P.C.
Entity type:Organization
Organization Name:ABSOLUTE FOOT & ANKLE CARE, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMENTI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-360-9200
Mailing Address - Street 1:3 HOSPITAL PLZ
Mailing Address - Street 2:SUITE 204
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3093
Mailing Address - Country:US
Mailing Address - Phone:732-360-9200
Mailing Address - Fax:
Practice Address - Street 1:3 HOSPITAL PLZ
Practice Address - Street 2:SUITE 204
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3093
Practice Address - Country:US
Practice Address - Phone:732-360-9200
Practice Address - Fax:732-360-2062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD002434213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8447403Medicaid
NJ145610Medicare PIN
NJU74736Medicare UPIN
NJ6228730001Medicare NSC
NJD06211Medicare PIN