NPIMap

Organization Active NPI

Foot Forward Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1104152552
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004741L Issued in PA
Legal business name
FOOT FORWARD PODIATRY, LLC
Practice address
501 S 54TH St
Suite 301
Philadelphia, PA 19143-1900
Phone
(215) 748-9770
Fax
(215) 748-9777
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Dr. Joseph Dominic Rondeau, DPM
Title
Sole Proprietor
Phone
(215) 748-9770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC004741L PA Primary

Addresses

Primary practice location

501 S 54TH St
Suite 301
Philadelphia, PA 19143-1900

Mailing address

501 S 54TH St
Suite 301
Philadelphia, PA 19143-1900
Phone (215) 748-9770

National Provider Directory

National Provider Directory

Locations

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Phone (716) 608-7000

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Phone (716) 366-6710

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Phone (914) 769-0114

645 Lexington Ave
New York, NY 10022
Phone (212) 355-8494

2781 US Route 9
North Hudson, NY 12855

2150 Saint Paul St
Rochester, NY 14621
Phone (585) 342-5540

45 S Route 9W
Unit 41114
West Haverstraw, NY 10993

501 S 54th St
Ste 301
Philadelphia, PA 19143
Phone (215) 748-9770

9468 Hospital Ave
Nassawadox, VA 23413
Phone (757) 442-5600

Practitioners & affiliated clinicians

Practitioners 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1104152552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-748-9770",
            "fax_number": "215-748-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-748-9770",
            "fax_number": "215-748-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT FORWARD PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "RONDEAU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "215-748-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004741L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.