Organization Active NPI

Advanced Foot Care Specialists

  • Podiatrist
  • Maywood, NJ
National Provider Identifier
1144550161
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ADVANCED FOOT CARE SPECIALISTS
Practice address
240 W Passaic St
Ste 4
Maywood, NJ 07607-1264
Phone
(201) 880-6000
Fax
(201) 880-5999
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Dr. Mark Weinstock, DPMNPI 1992709430
Title
President
Phone
(201) 880-6000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

240 W Passaic St
Ste 4
Maywood, NJ 07607-1264

Mailing address

240 W Passaic St
Ste 4
Maywood, NJ 07607-1264
Phone (201) 880-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100728000501 NJ Part B Supplier - Clinic/Group Practice 5799818720 Receives reassigned benefits from 2 practitioners
Practice locations: Maywood, NJ
O20100930057287 NJ DME Supplier - Physician - Podiatry 5799818720 Practice locations: Maywood, NJ

National Provider Directory

National Provider Directory

Locations

240 W Passaic St
Ste 4
Maywood, NJ 07607
Phone (201) 880-6000

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": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1144550161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W PASSAIC ST",
            "address_2": "STE 4",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071264",
            "telephone_number": "201-880-6000",
            "fax_number": "201-880-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W PASSAIC ST",
            "address_2": "STE 4",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071264",
            "telephone_number": "201-880-6000",
            "fax_number": "201-880-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "WEINSTOCK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-880-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.