Edison Podiatry, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

EDISON PODIATRY, PA

Practice address

4 Progress St
Ste B5
Edison, NJ 08820-1199

Phone

(908) 753-0500

Fax

(908) 753-0199

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Daniel J Roche, DPM

Title

Owner

Phone

(908) 753-0500

Specialties & licenses 1

Addresses

Other names 1

• Roche Podiatry Group Doing business as

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1366471351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PROGRESS ST",
            "address_2": "STE B5",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201199",
            "telephone_number": "908-753-0500",
            "fax_number": "908-753-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PROGRESS ST",
            "address_2": "STE B5",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201199",
            "telephone_number": "908-753-0500",
            "fax_number": "908-753-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON PODIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-753-0500",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roche Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Edison, NJ
• Providers in Edison, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.