Organization Active NPI

Footcare Home Visits

  • Podiatrist
  • Mount Ephraim, NJ
National Provider Identifier
1023691177
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOTCARE HOME VISITS
Practice address
40 W Kings Hwy
Mount Ephraim, NJ 08059-1303
Phone
(856) 780-0779
NPI assigned
May 5, 2021
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Dr. Dana M Canuso, DPMNPI 1164740031
Title
Owner
Phone
(856) 780-0779

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

40 W Kings Hwy
Mount Ephraim, NJ 08059-1303

Mailing address

2 Cheryl CT
Marlton, NJ 08053-4929
Phone (856) 780-0779

Other names 1

  • Podiatry and Lower Extremity Wound Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210519001901 NJ Part B Supplier - Clinic/Group Practice 9335548619 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Ephraim, NJ

National Provider Directory

National Provider Directory

Locations

40 W Kings Hwy
Mount Ephraim, NJ 08059
Phone (856) 780-0779

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1023691177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHERYL CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534929",
            "telephone_number": "856-780-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W KINGS HWY",
            "city": "MOUNT EPHRAIM",
            "state": "NJ",
            "postal_code": "080591303",
            "telephone_number": "856-780-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTCARE HOME VISITS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "CANUSO",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-780-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry and Lower Extremity Wound Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Ephraim, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.