RECONSTRUCTIVE FOOT AND ANKLE SURGICAL ASSOCIATES PC
NPI 1174559215
Podiatrist - Foot & Ankle Surgery in Millville, NJ

Active since June 23, 2006
1600 HIGH ST N, MILLVILLE, NJ 08332(856) 825-9009(856) 825-4766 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Reconstructive Foot And Ankle Surgical Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RECONSTRUCTIVE FOOT AND ANKLE SURGICAL ASSOCIATES PC (NPI 1174559215) is a healthcare organization registered as a foot & ankle surgery in Millville, New Jersey and active in the NPI registry since June 2006. The organization lists Jose R Ruiz, Physician, as its authorized official.

NPPES Registry Identity

NPI1174559215
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameRECONSTRUCTIVE FOOT AND ANKLE SURGICAL ASSOCIATES PC
Location Address1600 HIGH ST NMillville, NJ 08332-1922
Mailing Address501 Doral DrBlackwood, NJ 08012-5424 · (856) 232-9286
Fax(856) 825-4766
Organization SubpartNo
Authorized OfficialJose R RuizPhysician · (856) 825-9009
Enumeration DateJune 23, 2006
Last NPPES UpdateJanuary 10, 2017
✔ NPI 1174559215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00234800
1600 HIGH ST N, Millville, NJ 08332

Other Identifiers 6

Medicare NSC1224350001NJ
Other000536893NJ · Highmark Blue Shield
Other0479397000NJ · Amerihealth Hmo
Medicaid7446802NJ
Medicare PIN001272NJ
Medicare PIN99000514NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reconstructive Foot And Ankle Surgical Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040426001543Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Reconstructive Foot And Ankle Surgical Associates PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1376907071
1600 HIGH ST N STE 201
Millville, NJ 08332
(856) 825-9009
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1497798334
1600 HIGH ST N
Millville, NJ 08332
(856) 825-9009
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reconstructive Foot And Ankle Surgical Associates PC's NPI number?

The NPI number for Reconstructive Foot And Ankle Surgical Associates PC is 1174559215. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Reconstructive Foot And Ankle Surgical Associates PC located?

Reconstructive Foot And Ankle Surgical Associates PC is located at 1600 High St N, Millville, NJ 08332. The listed phone number is (856) 825-9009.

What is Reconstructive Foot And Ankle Surgical Associates PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Reconstructive Foot And Ankle Surgical Associates PC enrolled in Medicare?

Yes. Reconstructive Foot And Ankle Surgical Associates PC is registered in the Medicare PECOS enrollment system.

When is Reconstructive Foot And Ankle Surgical Associates PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Reconstructive Foot And Ankle Surgical Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Reconstructive Foot And Ankle Surgical Associates PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Reconstructive Foot And Ankle Surgical Associates PC was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.