Footprint Logistics Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FOOTPRINT LOGISTICS INC

Practice address

79 Green Hill Rd
Springfield, NJ 07081-3619

Phone

(917) 807-9907

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Paul Civitano

Title

President

Phone

(917) 807-9907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1346965639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 GREEN HILL RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813619",
            "telephone_number": "917-807-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 GREEN HILL RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813619",
            "telephone_number": "917-807-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINT LOGISTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A",
        "authorized_official_last_name": "CIVITANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-807-9907"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Flint, LSW
• Breanna Marie Flood
• John Joseph Florio, O.D.
• Foot and Ankle Physicians of NJ, LLC
• Foot and Ankle Surgery LLC
• Trevor George Forbes, M.D.
• Glenn V. Forsyth, PT, DPT
• Frank Bucciero OD
• Renee Chyrese Frazier, LCSW
• Margo J Freedberg, D.M.D.

• Non-emergency Medical Transport (VAN) in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.