Garden State Foot Care

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

25MD002054 Issued in NJ

Legal business name

GARDEN STATE FOOT CARE

Practice address

200 B State Highway 73
Suite 3
Voorhees, NJ 08043-9542

Phone

(856) 753-1300

Fax

(856) 768-2965

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Larry L. Lodge, DPMNPI 1497748354

Title

Owner

Phone

(856) 753-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Larry L Lodge, D.P.M.

  • Podiatrist
  • Voorhees, NJ
  • NPI 1497748354
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1275700205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 B STATE HIGHWAY 73",
            "address_2": "SUITE 3",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439542",
            "telephone_number": "856-753-1300",
            "fax_number": "856-768-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 B STATE HIGHWAY 73",
            "address_2": "SUITE 3",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439542",
            "telephone_number": "856-753-1300",
            "fax_number": "856-768-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "LODGE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-753-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD002054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veena S Gandhi
• Brett Andrew Garber, D.O., LLC
• Diana Patricia Garcia Nieves
• Garden State Cardiology
• Garden State Cardiology Associates P.C.
• Garden State Gastroenterology
• Garden State OBGYN
• Robert Gardine, M.D.
• Caitlin Gardiner
• Jessica T Gardiner, MSOT

• Foot Surgery Podiatrist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.