Active NPI
Matthew B. Welch DPM
- Foot & Ankle Surgery Podiatrist
- West New York, NJ
National Provider Identifier
1124290598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00205700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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 DirectoryNPI 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.