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
Last updated
Oct 20, 2009By the provider in NPPES
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

201 New Rd
Linwood, NJ 08221
Phone (609) 927-6131

1205 Delaware Ave
Buffalo, NY 14209
Phone (585) 663-6368

5 S Family Dr
Colonie, NY 12205
Phone (518) 213-9923

10836 Temple Rd
Dunkirk, NY 14048
Phone (716) 366-6400

447 Lake Shore Dr W
Dunkirk, NY 14048
Phone (716) 366-6710

104 N Washington St
Herkimer, NY 13350
Phone (315) 866-6964

2230 N Triphammer Rd
Ithaca, NY 14850
Phone (607) 266-5300

185 Old Military Rd
Lake Placid, NY 12946
Phone (518) 523-2464

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

2781 US Route 9
North Hudson, NY 12855

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

2987 Seneca St
West Seneca, NY 14224
Phone (716) 652-1560

245 Bassett Rd
Williamsville, NY 14221
Phone (716) 688-4011

1500 Lansdowne Ave
Ste 2
Darby, PA 19023
Phone (610) 237-7970

Practitioners & affiliated clinicians

Practitioners 55

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.

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.