Organization Active NPI

Footcare 2 You

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield, NJ
National Provider Identifier
1104280486
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FOOTCARE 2 YOU
Practice address
350 Bloomfield Ave
2ND FL. Suite 5
Bloomfield, NJ 07003
Phone
(973) 429-1300
Fax
(973) 429-0037
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Leo Davidson, DPMNPI 1467743732
Title
Owner/Partner
Phone
(973) 429-1300

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

350 Bloomfield Ave
2ND FL. Suite 5
Bloomfield, NJ 07003

Mailing address

667 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 736-4030

National Provider Directory

National Provider Directory

Locations

350 Bloomfield Ave
Ste 5
Bloomfield, NJ 07003
Phone (973) 259-1490

335 US Highway 9
Manalapan, NJ 07726
Phone (732) 538-0303

9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300

667 Eagle Rock Ave
#B
West Orange, NJ 07052

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1104280486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-736-4030",
            "fax_number": "973-325-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOOMFIELD AVE",
            "address_2": "2ND FL. SUITE 5",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-429-1300",
            "fax_number": "973-429-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTCARE 2 YOU",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "973-429-1300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.