Diabetic Footwear & Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC FOOTWEAR & SUPPLY, INC.

Practice address

7036 W Palmetto Park Rd
Suite 59
Boca Raton, FL 33433-3404

Phone

(561) 338-3838

Fax

(561) 338-5318

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul J. Weiner, CERTIFIED PEDORTHISTNPI 1003036633

Title

President

Phone

(561) 338-3838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Paul Weiner, CERTIFIED PEDORTHIST

  • Orthotic Fitter
  • Boca Raton, FL
  • NPI 1003036633
  NPD Authorized official

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1225218159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 W PALMETTO PARK RD",
            "address_2": "SUITE 59",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333404",
            "telephone_number": "561-338-3838",
            "fax_number": "561-338-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7036 W PALMETTO PARK RD",
            "address_2": "SUITE 59",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333404",
            "telephone_number": "561-338-3838",
            "fax_number": "561-338-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC FOOTWEAR & SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-338-3838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy L Dewysockie, LMT
• Dexora Medical Supplies LLC
• Pareen Dholoo, DDS
• Diabetes Care Center
• Diabetes Made Ez, LLC
• Diabetic Source Inc
• Diabetic Supply Foundation of Delray Inc
• Dialysis Spa, LLC
• Dialyze Direct FL LLC
• Ariel Diamant

• Durable Medical Equipment & Medical Supplies in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.