Kevin Souza, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00299100 Issued in NJ

Practice address

3155 Route 10 East
Suite 215
Denville, NJ 07834-3430

Phone

(973) 895-3288

NPI assigned

Sep 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Park Avenue Family Foot Care P.C.

  • Foot & Ankle Surgery Podiatrist
  • Plainfield, NJ
  • NPI 1427227677
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1376738724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 ROUTE 10 EAST",
            "address_2": "SUITE 215",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343430",
            "telephone_number": "973-895-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 ROUTE 10 EAST",
            "address_2": "SUITE 215",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343430",
            "telephone_number": "973-895-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00299100",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Ramesh Sookraj, RPH
• Christopher Thomas Soriano, M.D.
• John G Soriano, MD
• William F Sorvino
• Hari Dharshan Soundararajan, M.D
• Joseph W. Spadola III, DMD
• Nicole Spaldo
• Special Homes of New Jersey
• Special Homes of New Jersey, Inc.
• Special Homes of New Jersey, Inc.

• Foot & Ankle Surgery Podiatrist in Denville, NJ
• Providers in Denville, 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 Jul 23, 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.