Organization Active NPI

Maple Shade Foot and Ankle Specialists, LLC

  • Foot & Ankle Surgery Podiatrist
  • Maple Shade, NJ
National Provider Identifier
1295014462
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MAPLE SHADE FOOT AND ANKLE SPECIALISTS, LLC
Practice address
2 E Main St
Maple Shade, NJ 08052-2620
Phone
(856) 779-8080
NPI assigned
Aug 5, 2011
Last updated
Aug 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Dr. Sandra Winiewicz, DPM
Title
Owner
Phone
(856) 779-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

2 E Main St
Maple Shade, NJ 08052-2620

Mailing address

2 E Main St
Maple Shade, NJ 08052-2620

National Provider Directory

National Provider Directory

Locations

9 Mule Rd
Ste E6
Toms River, NJ 08755
Phone (732) 240-9223

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1295014462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522620",
            "telephone_number": "856-779-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SHADE FOOT AND ANKLE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "WINIEWICZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-779-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Shade, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.