Essential Foot Care PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

25MD00313500 Issued in NJ

Legal business name

ESSENTIAL FOOT CARE PC

Practice address

20 Berlin Rd
Clementon, NJ 08021-4546

Phone

(651) 747-7748

Fax

(856) 783-2312

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Olukola A Adeleke, DPMNPI 1124327309

Title

President

Phone

(856) 783-0039

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12860/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Olukola A Adeleke, DPM

  • Podiatrist
  • Clementon, NJ
  • NPI 1124327309
  Medicare reassignment Authorized official
• Bridget Juanique Lark, LMFT

  • Marriage & Family Therapist
  • Voorhees, NJ
  • NPI 1386125946

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1346595089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BERLIN RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214546",
            "telephone_number": "856-783-0039",
            "fax_number": "856-783-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BERLIN RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214546",
            "telephone_number": "651-747-7748",
            "fax_number": "856-783-2312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1676 N Olden Ave Bldg 1B2nd",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086383210",
            "country_code": "US",
            "telephone_number": "856-316-6175",
            "fax_number": "856-513-3649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESSENTIAL FOOT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "ADELEKE",
        "authorized_official_first_name": "OLUKOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-783-0039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NJ",
            "license": "25MD00313500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315486",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027606800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Edmonds
• Eiseman Chiropractic, PC
• Thomas Eiseman, D.C.
• Ernest Leone Jr., D.D.S., PA
• Melanie Erwinski
• Ashley Essien, BCBA
• Esteem Support Services
• Jidvett Fabian
• Briana Falco, LCSW
• Tiara Shanay Farmer, FNP

• Podiatric Clinic/Center in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Podiatric Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.