Active NPI
Foot Health Centers, P.a.
- Podiatrist
- Medford, NJ
National Provider Identifier
1013021070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FOOT HEALTH CENTERS, P.A.
- Practice address
- 25 Jackson Rd
Suite D
Medford, NJ 08055-9220 - Phone
- (609) 654-1717
- Fax
- (856) 795-5994
- NPI assigned
- Aug 18, 2006
- 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
- Janine Cottrill
- Title
- Office Manager
- Phone
- (856) 795-1003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NJ | Primary |
Addresses
Primary practice location
25 Jackson Rd
Suite D
Medford, NJ 08055-9220
Mailing address
52 Berlin Rd
Suite 5000
Cherry Hill, NJ 08034-3574
Phone (856) 795-1003
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3255708 | Other | NJ | AETNA |
| 0421600000 | Other | NJ | AMERIHEALTH |
| 2808307 | Medicaid | NJ | |
| 1067235 | Other | NH | HORIZON NJ HEALTH |
National Provider Directory
National Provider DirectoryLocations
25 Jackson Rd
Ste D
Medford, NJ 08055
Phone (609) 654-1717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197590400000",
"number": "1013021070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 BERLIN RD",
"address_2": "SUITE 5000",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343574",
"telephone_number": "856-795-1003",
"fax_number": "856-795-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 JACKSON RD",
"address_2": "SUITE D",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080559220",
"telephone_number": "609-654-1717",
"fax_number": "856-795-5994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT HEALTH CENTERS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2007-12-14",
"status": "A",
"authorized_official_last_name": "COTTRILL",
"authorized_official_first_name": "JANINE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "856-795-1003"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3255708",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0421600000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2808307",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1067235",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.