Organization Active NPI

Matthew B. Welch DPM

  • Foot & Ankle Surgery Podiatrist
  • West New York, NJ
National Provider Identifier
1124290598
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00205700 Issued in NJ
Legal business name
MATTHEW B. WELCH DPM
Practice address
6506 Park Ave
West New York, NJ 07093-4302
Phone
(201) 662-1122
Fax
(201) 869-2965
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Matthew B Welch, D.P.M.
Title
Owner
Phone
(201) 662-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00205700 NJ Primary

Addresses

Primary practice location

6506 Park Ave
West New York, NJ 07093-4302

Mailing address

6506 Park Ave
West New York, NJ 07093-4302
Phone (201) 662-1122

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1124290598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 PARK AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070934302",
            "telephone_number": "201-662-1122",
            "fax_number": "201-869-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 PARK AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070934302",
            "telephone_number": "201-662-1122",
            "fax_number": "201-869-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW B. WELCH DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-662-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00205700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.