Organization Active NPI

Footprint Too LLC

  • Prosthetic/Orthotic Supplier
  • Hazlet, NJ
National Provider Identifier
1235484908
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
45P000003300 Issued in NJ
Legal business name
FOOTPRINT TOO LLC
Practice address
984 Highway 36
Hazlet, NJ 07730-1700
Phone
(732) 739-0888
Fax
(732) 739-5351
NPI assigned
Jul 19, 2012
Last updated
Jul 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Stuart Weiner, CPO
Title
Owner
Phone
(732) 739-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 45P000003300 NJ Primary

Addresses

Primary practice location

984 Highway 36
Hazlet, NJ 07730-1700

Mailing address

984 Highway 36
Hazlet, NJ 07730-1700
Phone (732) 739-0888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1235484908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 HIGHWAY 36",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301700",
            "telephone_number": "732-739-0888",
            "fax_number": "732-739-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 HIGHWAY 36",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301700",
            "telephone_number": "732-739-0888",
            "fax_number": "732-739-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINT TOO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-739-0888",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "45P000003300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.