Active NPI
Gofootcare LLC
- Foot Surgery Podiatrist
- Jersey City, NJ
National Provider Identifier
1003455544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Venante Charles, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0663212 | Medicaid | NJ |
Other names 1
- Gofootcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.