Organization Active NPI

Rowen Podiatry, Inc

  • Foot & Ankle Surgery Podiatrist
  • Glendora, NJ
National Provider Identifier
1245249002
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25,D00214500 Issued in NJ
Legal business name
ROWEN PODIATRY, INC
Practice address
518 Black Horse Pike
Glendora, NJ 08029-1443
Phone
(856) 939-2411
Fax
(856) 939-1718
NPI assigned
Aug 7, 2006
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Michelle C Rowen, DPMNPI 1487692315
Title
DPM
Phone
(856) 939-2411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25,D00214500 NJ Primary

Addresses

Primary practice location

518 Black Horse Pike
Glendora, NJ 08029-1443

Mailing address

518 Black Horse Pike
Glendora, NJ 08029-1443
Phone (856) 939-2411

Other identifiers 1

IdentifierTypeStateIssuer
5368006MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111215000568 NJ Part B Supplier - Clinic/Group Practice 7719198282 Receives reassigned benefits from 1 practitioner
Practice locations: Glendora, NJ

National Provider Directory

National Provider Directory

Locations

518 Black Horse Pike
Glendora, NJ 08029
Phone (609) 939-2411

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1245249002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 BLACK HORSE PIKE",
            "city": "GLENDORA",
            "state": "NJ",
            "postal_code": "080291443",
            "telephone_number": "856-939-2411",
            "fax_number": "856-939-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 BLACK HORSE PIKE",
            "city": "GLENDORA",
            "state": "NJ",
            "postal_code": "080291443",
            "telephone_number": "856-939-2411",
            "fax_number": "856-939-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWEN PODIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "ROWEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "856-939-2411",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25,D00214500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5368006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.