NPIMap

Organization Active NPI

Delaware Total Foot and Ankle Center

  • Podiatrist
  • Lewes, DE
National Provider Identifier
1265991459
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DELAWARE TOTAL FOOT AND ANKLE CENTER
Practice address
17425 Ocean One PLZ Unit 1
Lewes, DE 19958-1726
Phone
(302) 297-8431
Fax
(302) 433-6547
NPI assigned
Mar 18, 2019
Last updated
Oct 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Joseph Wendolowski, DPMNPI 1982610010
Title
Owner
Phone
(302) 297-8431

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

17425 Ocean One PLZ Unit 1
Lewes, DE 19958-1726

Mailing address

17425 Ocean One PLZ Unit 1
Lewes, DE 19958-1726
Phone (302) 297-8431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190605001814 DE Part B Supplier - Clinic/Group Practice 7214278746 Receives reassigned benefits from 2 practitioners
Practice locations: Lewes, DE; Rehoboth Beach, DE
O20191204000757 DE DME Supplier - Physician - Podiatry 7214278746 Practice locations: Lewes, DE

National Provider Directory

National Provider Directory

Locations

17425 Ocean One Plz
Lewes, DE 19958
Phone (302) 703-0213

17425 Ocean One Plz
Unit 1
Lewes, DE 19958
Phone (302) 297-8431

17425 Ocean One Plz
Unit 3
Lewes, DE 19958

Practitioners & affiliated clinicians

Practitioners 4

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": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1265991459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17425 OCEAN ONE PLZ UNIT 1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581726",
            "telephone_number": "302-297-8431",
            "fax_number": "302-433-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17425 OCEAN ONE PLZ UNIT 1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581726",
            "telephone_number": "302-297-8431",
            "fax_number": "302-433-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE TOTAL FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "WENDOLOWSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-297-8431",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.