Organization Active NPI

Boonton Podiatry

  • Podiatrist
  • Boonton, NJ
National Provider Identifier
1245426337
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD01978 Issued in NJ
Legal business name
BOONTON PODIATRY
Practice address
223 W Main St
Suite 1B
Boonton, NJ 07005-1166
Phone
(973) 402-1973
Fax
(973) 402-1969
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Jean Roniger, DPM
Title
Partner
Phone
(973) 402-1973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MD01978 NJ Primary

Addresses

Primary practice location

223 W Main St
Suite 1B
Boonton, NJ 07005-1166

Mailing address

223 W Main St
Suite 1B
Boonton, NJ 07005-1166
Phone (973) 402-1973

Other identifiers 1

IdentifierTypeStateIssuer
3444805MedicaidNJ

National Provider Directory

National Provider Directory

Locations

223 W Main St
Ste 1B
Boonton, NJ 07005
Phone (973) 402-1973

223 W Main St
Ste 1
Boonton, NJ 07005
Phone (973) 402-1973

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1245426337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W MAIN ST",
            "address_2": "SUITE 1B",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051166",
            "telephone_number": "973-402-1973",
            "fax_number": "973-402-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W MAIN ST",
            "address_2": "SUITE 1B",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051166",
            "telephone_number": "973-402-1973",
            "fax_number": "973-402-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONTON PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "RONIGER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-402-1973",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3444805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.