Active NPI
Maple Shade Foot and Ankle Specialists, LLC
- Foot & Ankle Surgery Podiatrist
- Maple Shade, NJ
National Provider Identifier
1295014462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.