ELITE TRI-STATE FOOT CARE, PC
NPI 1619450350
Podiatrist - Foot & Ankle Surgery in Red Bank, NJ

Active since September 10, 2018
62 GLENMARY AVE, RED BANK, NJ 07701(732) 835-8524 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2020, Sep 10, 2018 (2 updates tracked since 2018).

About Elite Tri-state Foot Care, Pc NPPES

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

ELITE TRI-STATE FOOT CARE, PC (NPI 1619450350) is a healthcare organization registered as a foot & ankle surgery in Red Bank, New Jersey and active in the NPI registry since September 2018. The organization maintains a secondary practice location in New York and lists Alicia Marie Attanasio, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619450350
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameELITE TRI-STATE FOOT CARE, PC
Location Address62 GLENMARY AVERed Bank, NJ 07701-6259
Mailing Address62 Glenmary AveRed Bank, NJ 07701-6259 · (732) 835-8524
Organization SubpartNo
Authorized OfficialAlicia Marie AttanasioCeo · (732) 835-8524
Enumeration DateSeptember 10, 2018
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
✔ NPI 1619450350 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
62 GLENMARY AVE, Red Bank, NJ 07701

Secondary Practice Location 1

Location 1144 E 44th St Fl 3New York, NY 10017-4096 · Phone (212) 557-4070 · Fax (212) 490-6657

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Tri-state Foot Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elite Tri-State Foot Care, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1629415492
186 JACK MARTIN BLVD # B-1
Brick, NJ 08724
(732) 835-8524
✔ PECOS✔ Accepts Medicare20 mi

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 Elite Tri-State Foot Care, PC's NPI number?

The NPI number for Elite Tri-State Foot Care, PC is 1619450350. It was assigned to this organization in the NPPES registry on September 10, 2018.

Where is Elite Tri-State Foot Care, PC located?

Elite Tri-State Foot Care, PC is located at 62 Glenmary Ave, Red Bank, NJ 07701. The listed phone number is (732) 835-8524.

What is Elite Tri-State Foot Care, PC's specialty?

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

Is Elite Tri-State Foot Care, PC enrolled in Medicare?

Yes. Elite Tri-State Foot Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Tri-State Foot Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Elite Tri-State Foot Care, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elite Tri-State Foot Care, PC was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.