Active NPI
JRJ Podiatry Inc
- Podiatrist
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2654
- Legal business name
- JRJ PODIATRY INC
- Practice address
- 4000 N State Road 7
Ste 412
Lauderdale Lakes, FL 33319-4882 - Phone
- (954) 731-0028
- Fax
- (954) 731-0288
- NPI assigned
- Jun 27, 2005
- Last updated
- Dec 29, 2008
- 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. Jeanette R Johnson, DPM
- Title
- Owner/President
- Phone
- (954) 731-0028
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2654 | FL | Primary |
Addresses
Primary practice location
4000 N State Road 7
Ste 412
Lauderdale Lakes, FL 33319-4882
Mailing address
4000 N State Road 7
Ste 412
Lauderdale Lakes, FL 33319-4882
Phone (954) 731-0028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390400801 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
4000 N State Road 7
Ste 412
Lauderdale Lakes, FL 33319
Phone (954) 731-0028
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Primary Podiatric Medicine Podiatrist
- Pinehurst, NC
- NPI 1255337804
-
- Primary Podiatric Medicine Podiatrist
- Fort Lauderdale, FL
- NPI 1841224425
-
- Foot & Ankle Surgery Podiatrist
- Weston, FL
- NPI 1831149186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230508800000",
"number": "1083610638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 N STATE ROAD 7",
"address_2": "STE 412",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333194882",
"telephone_number": "954-731-0028",
"fax_number": "954-731-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 N STATE ROAD 7",
"address_2": "STE 412",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333194882",
"telephone_number": "954-731-0028",
"fax_number": "954-731-0288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JRJ PODIATRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-27",
"last_updated": "2008-12-29",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JEANETTE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "954-731-0028",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390400801",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.