John Charles Maerz Jr MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

149892 Issued in NY

Legal business name

JOHN CHARLES MAERZ JR MD

Doing business as

FOOTPRINGS PEDIATRICS

Practice address

27 Jennison Ave
Johnson City, NY 13790-2302

Phone

(607) 770-4543

Fax

(607) 770-0826

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

John C Maerz, M.D.

Title

Owner

Phone

(607) 770-4543

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FOOTPRINGS PEDIATRICS Doing business as

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1285753376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E FOURTEENTH STREET",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031303",
            "telephone_number": "607-734-9539",
            "fax_number": "607-734-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 JENNISON AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902302",
            "telephone_number": "607-770-4543",
            "fax_number": "607-770-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CHARLES MAERZ JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MAERZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-770-4543",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "149892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00711679",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOTPRINGS PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sundar Jayaraman, M.D.
• Michayla Jenkins
• Matthew Jennings, RPH
• Jerome H Rosenstein MD PLLC
• Anup Jnawali, MD
• Johnson City Central School District
• Johnson City Family Dental PLLC
• Niveita Johnson, MD
• Cassarah E Jones, RN
• Shannon Mary Jones, MD

• Pediatrics Physician in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Pediatrics Physician in New York

• 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.