LAKEWOOD FOOT AND ANKLE SPECIALIST, LLC
NPI 1770088890
Podiatrist - Primary Podiatric Medicine in Lakewood, NJ
About Lakewood Foot And Ankle Specialist, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEWOOD FOOT AND ANKLE SPECIALIST, LLC (NPI 1770088890) is a healthcare organization registered as a primary podiatric medicine in Lakewood, New Jersey and active in the NPI registry since March 2018. The organization lists Marilyn Smith, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Lakewood Foot And Ankle Specialist, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakewood Foot And Ankle Specialist, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lakewood Foot And Ankle Specialist, LLC's NPI number?
The NPI number for Lakewood Foot And Ankle Specialist, LLC is 1770088890. It was assigned to this organization in the NPPES registry on March 29, 2018.
Where is Lakewood Foot And Ankle Specialist, LLC located?
Lakewood Foot And Ankle Specialist, LLC is located at 1700 Madison Ave, Lakewood, NJ 08701. The listed phone number is (732) 367-5151.
What is Lakewood Foot And Ankle Specialist, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.
Is Lakewood Foot And Ankle Specialist, LLC enrolled in Medicare?
Yes. Lakewood Foot And Ankle Specialist, LLC is registered in the Medicare PECOS enrollment system.
When is Lakewood Foot And Ankle Specialist, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Physician - Podiatry) is due for revalidation by March 31, 2027. 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 Lakewood Foot And Ankle Specialist, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Lakewood Foot And Ankle Specialist, LLC. 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 Lakewood Foot And Ankle Specialist, LLC was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lakewood Foot And Ankle Specialist, Llc · NPI 1770088890
Primary Podiatric Medicine organization in Lakewood, New Jersey. Organization record, active in the CMS NPPES registry since March 29, 2018.
## Identity
- **NPI:** 1770088890 (Entity type: Organization)
- **Enumerated:** March 29, 2018
- **Primary specialty:** Podiatrist - Primary Podiatric Medicine · taxonomy 213EP1101X
- **Organization subpart:** No
- **Authorized official:** Marilyn Smith, OFFICE MANAGER
## Practice location
- **Address:** 1700 MADISON AVE, Lakewood, NJ 08701-1253
- **Phone:** (732) 367-5151 · **Fax:** (732) 905-5160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (DME, New Jersey, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1770088890) · Data from the CMS NPPES public registry.