Belvidere Foot & Ankle LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BELVIDERE FOOT & ANKLE LLC

Practice address

8 Greenwich St
Belvidere, NJ 07823-1421

Phone

(201) 977-1406

NPI assigned

May 10, 2018

Last updated

May 10, 2018By 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

Dr. Maryellen Patricia Brucato, DPMNPI 1407148877

Title

Owner

Phone

(732) 691-0279

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryellen Patricia Brucato, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oradell, NJ
  • NPI 1407148877
  NPD Authorized official

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1235629783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 KINDERKAMACK RD # 121",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491500",
            "telephone_number": "201-977-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GREENWICH ST",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "078231421",
            "telephone_number": "201-977-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELVIDERE FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "BRUCATO",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-691-0279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lillian Bayne
• Beacon Specialized Living New Jersey, Inc.
• Michael E Belby, D.D.S.
• Belvidere Dental Associates, P.C.
• Belvidere Emergency Medical Services Inc
• Belvidere Pharmacy LLC (zack's pharmacy & gifts)
• Belvidere School District
• Megyn Leigh Berezny
• John V Bernard, MD
• Dawn Bojczak

• Foot & Ankle Surgery Podiatrist in Belvidere, NJ
• Providers in Belvidere, 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 May 10, 2018; 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.