Personal Care Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PERSONAL CARE PODIATRY LLC

Practice address

118 North Ave, West
Cranford, NJ 07016-3132

Phone

(908) 795-1979

Fax

(908) 272-1323

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Philip J Jimenez, DPM

Title

Podiatrist

Phone

(908) 380-4959

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1235647231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NORTH AVE, WEST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163132",
            "telephone_number": "908-795-1979",
            "fax_number": "908-272-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NORTH AVE, WEST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163132",
            "telephone_number": "908-795-1979",
            "fax_number": "908-272-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "908-380-4959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Angelo Pedevillano, MS, LPC
• Pediatric Specialty Care Servces, LLC
• Rachel Pender, OTR/L
• Julia Perrotta, MA, CCC-SLP
• Charmaine Rosemarie Perry, MS, LPC, NCC
• Xavier Peters, PT, DPT
• Nicholas J Petriella, PA
• Beata Piasecki, DPT
• Thomas John Pijanowski, D.M.D.
• Kayla Pinilla, RN, BSN, CCM

• Podiatrist in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.