Family Foot Care PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00141100 Issued in NJ

Legal business name

FAMILY FOOT CARE PC

Practice address

171 Franklin Tpke
Waldwick, NJ 07463-1849

Phone

(201) 447-8990

Fax

(201) 447-4298

NPI assigned

Dec 31, 2009

Last updated

Jun 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Frances Neylon

Title

Office Manager

Phone

(201) 447-8990

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1235469958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 FRANKLIN TPKE",
            "address_2": "SUITE 200",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631849",
            "telephone_number": "201-447-8990",
            "fax_number": "201-447-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 FRANKLIN TPKE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631849",
            "telephone_number": "201-447-8990",
            "fax_number": "201-447-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "NEYLON",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-447-8990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00141100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1828100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ellsworth, PT, DPT
• Hala M Elostaz, R.PH
• Engel Burman Senior Care at Waldwick, LLC (The Bristal at Waldwick)
• Robert Erazo
• Dale Annette Fairchild, D.C.
• Family Footcare
• Dena Felsen, PSY.D.
• Carla C Ferreri, MS, OTR
• Corrine Field, APN
• Gabriella Fink, LPC

• Foot & Ankle Surgery Podiatrist in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.