Marlboro Family Dental and Foot Care, P.a

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D101283400 Issued in NJ

Legal business name

MARLBORO FAMILY DENTAL AND FOOT CARE, P.A

Practice address

15 S Main St
Marlboro, NJ 07746-1595

Phone

(732) 414-1150

Fax

(732) 414-1151

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Corinne R Kauderer, DPM

Title

Ceo

Phone

(732) 414-1150

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1396905014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461595",
            "telephone_number": "732-414-1150",
            "fax_number": "732-414-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461595",
            "telephone_number": "732-414-1150",
            "fax_number": "732-414-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO FAMILY DENTAL AND FOOT CARE, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KAUDERER",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-414-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101283400",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00276700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada Manfredi, MS, FNPC(APN)
• Heather J Mannari
• Matthew Richard Manzi, PHARMD
• Celeste Marchenko, NP
• Steven Wade Mark, D.C.
• Marlboro Family Eye Care, Inc.
• Marlboro First Aid & Rescue Squad Inc
• Marlboro Pediatric Care
• Marlboro Pediatric Dentistry, PC
• Marlboro Township Board of Ed

• General Practice Dentistry in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.