# LAKEWOOD FOOT AND ANKLE SPECIALISTS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639678246
- **Authorized official:** GLENN MICHAEL AUFSEESER (DPM)
- **Authorized official phone:** (732) 367-5151

## Contact information

- **Practice address:** 1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
- **Practice address phone:** (732) 367-5151
- **Mailing address:** 1700 MADISON AVE, LAKEWOOD, NJ 08701-1253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00332400 | NJ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/09/2018
- **Last updated:** 03/08/2018