Organization Active NPI

Heather Crawford, D.P.M., L.L.C.

  • Podiatrist
  • Little Egg Harbor TWP, NJ
National Provider Identifier
1336198092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00248400 Issued in NJ
Legal business name
HEATHER CRAWFORD, D.P.M., L.L.C.
Practice address
240 Mathistown Rd
Suite 109
Little Egg Harbor TWP, NJ 08087-4061
Phone
(609) 296-3533
Fax
(609) 296-4742
NPI assigned
May 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen B Crawford
Title
Office Manager
Phone
(732) 349-2795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00248400 NJ Primary

Addresses

Primary practice location

240 Mathistown Rd
Suite 109
Little Egg Harbor TWP, NJ 08087-4061

Mailing address

PO Box 1244
Toms River, NJ 08754-1244
Phone (732) 349-2795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100722000103 NJ Part B Supplier - Clinic/Group Practice 5496887762 Receives reassigned benefits from 1 practitioner
Practice locations: Tuckerton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336198092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1244",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087541244",
            "telephone_number": "732-349-2795",
            "fax_number": "732-349-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MATHISTOWN RD",
            "address_2": "SUITE 109",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080874061",
            "telephone_number": "609-296-3533",
            "fax_number": "609-296-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER CRAWFORD, D.P.M., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-349-2795"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00248400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.