Organization Active NPI

Gofootcare LLC

  • Foot Surgery Podiatrist
  • Jersey City, NJ
National Provider Identifier
1003455544
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
GOFOOTCARE LLC
Practice address
550 Summit Ave BSMT
Jersey City, NJ 07306-2707
Phone
(201) 771-3338
Fax
(855) 406-5493
NPI assigned
Jan 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Dr. Venante Charles, DPMNPI 1174798367
Title
Provider
Phone
(201) 771-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

550 Summit Ave BSMT
Jersey City, NJ 07306-2707

Mailing address

PO Box 242
Kearny, NJ 07032-0242
Phone (201) 771-3338

Other identifiers 1

IdentifierTypeStateIssuer
0663212MedicaidNJ

Other names 1

  • Gofootcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200310000033 NJ Part B Supplier - Clinic/Group Practice 2163850967 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ
O20250318000516 NY Part B Supplier - Clinic/Group Practice 2163850967 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

550 Summit Ave
Bsmt
Jersey City, NJ 07306
Phone (201) 209-1802

2599 Broadway
#98
New York, NY 10025

2599 Broadway
Ste A
New York, NY 10025
Phone (212) 571-1017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1003455544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070320242",
            "telephone_number": "201-771-3338",
            "fax_number": "855-406-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE BSMT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062707",
            "telephone_number": "201-771-3338",
            "fax_number": "855-406-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOFOOTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "VENANTE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "201-771-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0663212",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gofootcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.