Total Care Podiatry, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00307700 Issued in NJ

Legal business name

TOTAL CARE PODIATRY, LLC

Practice address

4122 Route 516
Matawan, NJ 07747-7022

Phone

(718) 513-6719

Fax

(718) 513-6721

NPI assigned

Jul 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Irina Belder, MD

Title

Podiatry

Phone

(718) 513-6719

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1386931889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 ROUTE 516",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077477022",
            "telephone_number": "718-513-6719",
            "fax_number": "718-513-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 ROUTE 516",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077477022",
            "telephone_number": "718-513-6719",
            "fax_number": "718-513-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "BELDER",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PODIATRY",
        "authorized_official_telephone_number": "718-513-6719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00307700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.