Organization Active NPI

Family Foot Care Center LLC

  • Foot Surgery Podiatrist
  • White Plains, MD
National Provider Identifier
1225164874
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
FAMILY FOOT CARE CENTER LLC
Practice address
4475 Regency PL
Ste 204
White Plains, MD 20695-3074
Phone
(301) 645-1406
Fax
(301) 645-0997
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Dr. Alesia L Madden Young, DPM
Title
Owner
Phone
(301) 645-1406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

4475 Regency PL
Ste 204
White Plains, MD 20695-3074

Mailing address

4475 Regency PL
Ste 204
White Plains, MD 20695-3074
Phone (301) 645-1406

National Provider Directory

National Provider Directory

Locations

12105 Old Line Ctr
Waldorf, MD 20602
Phone (301) 870-6046

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1225164874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PL",
            "address_2": "STE 204",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953074",
            "telephone_number": "301-645-1406",
            "fax_number": "301-645-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PL",
            "address_2": "STE 204",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953074",
            "telephone_number": "301-645-1406",
            "fax_number": "301-645-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "MADDEN YOUNG",
        "authorized_official_first_name": "ALESIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-645-1406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.