Northeast Foot & Ankle Associates, LLC.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC004803L Issued in PA

Legal business name

NORTHEAST FOOT & ANKLE ASSOCIATES, LLC.

Practice address

532 Main St
Suite #2
Moosic, PA 18507-1074

Phone

(570) 457-6540

Fax

(570) 457-6541

NPI assigned

Jun 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Justine M Metcho, DPM

Title

Owner

Phone

(570) 457-6540

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jan Golden, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Scranton, PA
  • NPI 1003064726
  NPD (past)

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1275854010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 MAIN ST",
            "address_2": "SUITE #2",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071074",
            "telephone_number": "570-457-6540",
            "fax_number": "570-457-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 MAIN ST",
            "address_2": "SUITE #2",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071074",
            "telephone_number": "570-457-6540",
            "fax_number": "570-457-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FOOT & ANKLE ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "METCHO",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-457-6540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004803L",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "SC004803-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Thomas Munley Jr., DC
• Peter Nallin, DC
• Kristie Marie Nardell, M.D.
• Kelsey Gail Nataupsky, LMFT
• Carri Newcomb
• Northeast Health and Wellness
• Northeast Therapeutic Wellness Center
• Northeastern Rehabilitation Associates, PC
• Donna J O'Donnell, LPC
• Eugene O'Donnell, LCSW

• Foot & Ankle Surgery Podiatrist in Moosic, PA
• Providers in Moosic, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.