Organization Active NPI

Foot Care of Jersey Corporation

  • Podiatric Clinic/Center
  • Paterson, NJ
National Provider Identifier
1003024019
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
25MD00284800 Issued in NJ
Legal business name
FOOT CARE OF JERSEY CORPORATION
Practice address
669 Broadway
Suite 2
Paterson, NJ 07514-1947
Phone
(973) 689-7091
Fax
(973) 689-7561
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Patrick Joseph Cain, D.P.M.
Title
President
Phone
(973) 689-7091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 25MD00284800 NJ Primary

Addresses

Primary practice location

669 Broadway
Suite 2
Paterson, NJ 07514-1947

Mailing address

669 Broadway
Suite 2
Paterson, NJ 07514-1947
Phone (973) 689-7091

Other identifiers 1

IdentifierTypeStateIssuer
0121185MedicaidNJ

Other names 1

  • Patrick Cain Other name

National Provider Directory

National Provider Directory

Locations

669 Broadway
Ste 2
Paterson, NJ 07514
Phone (973) 689-7091

641 Broadway
Paterson, NJ 07514
Phone (201) 809-4013

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1003024019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 BROADWAY",
            "address_2": "SUITE 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141947",
            "telephone_number": "973-689-7091",
            "fax_number": "973-689-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 BROADWAY",
            "address_2": "SUITE 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141947",
            "telephone_number": "973-689-7091",
            "fax_number": "973-689-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE OF JERSEY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-689-7091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NJ",
            "license": "25MD00284800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121185",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick Cain",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.