Woodbury Foot Care Centre LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00328100 Issued in NJ

Legal business name

WOODBURY FOOT CARE CENTRE LLC

Practice address

722 Mantua Pike
Suite10
Woodbury Heights, NJ 08097-1141

Phone

(856) 384-1333

Fax

(856) 384-1297

NPI assigned

Mar 20, 2017

Last updated

Mar 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Beth Herskowitz, DPM

Title

Ceo

Phone

(856) 384-1333

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1346781614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 MANTUA PIKE",
            "address_2": "SUITE10",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971141",
            "telephone_number": "856-384-1333",
            "fax_number": "856-384-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 MANTUA PIKE",
            "address_2": "SUITE10",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971141",
            "telephone_number": "856-384-1333",
            "fax_number": "856-384-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY FOOT CARE CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "HERSKOWITZ",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-384-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00208400",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00328100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4996003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara M Tomasso, M.D.
• Kathleen A Trow, CRNP
• Westwood Oral Surgery Associates PA
• Cheryl Wisniewski, DPM
• Wissahickon Hospice of Uphs
• Woodbury Pediatrics
• Woodbury Pediatrics, LLC
• Lauren Wynne, APN
• Komal Yadav, M.D.
• Stephanie Leigh Yellin, D.O.

• Foot & Ankle Surgery Podiatrist in Woodbury Heights, NJ
• Providers in Woodbury Heights, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.