Active NPI
Riverview Foot & Ankle Associates, P.C.
- Podiatrist
- Red Bank, NJ
National Provider Identifier
1407929631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00103800
- Legal business name
- RIVERVIEW FOOT & ANKLE ASSOCIATES, P.C.
- Practice address
- 130 Maple Avenue
Suite 3B
Red Bank, NJ 07701 - Phone
- (732) 747-2111
- Fax
- (732) 530-1348
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Deitch, DPM
- Title
- Owner President
- Phone
- (732) 747-2111
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00103800 | NJ | Primary |
| Podiatrist | 213E00000X | 25MD00256900 | NJ | |
| Podiatrist | 213E00000X | 25MD00220900 | NJ |
Addresses
Primary practice location
130 Maple Avenue
Suite 3B
Red Bank, NJ 07701
Mailing address
130 Maple Avenue
Suite 3B
Red Bank, NJ 07701
Phone (732) 747-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3325407 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
130 Maple Ave
Ste 3B
Red Bank, NJ 07701
Phone (732) 747-2111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270512000000",
"number": "1407929631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MAPLE AVENUE",
"address_2": "SUITE 3B",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-747-2111",
"fax_number": "732-530-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAPLE AVENUE",
"address_2": "SUITE 3B",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-747-2111",
"fax_number": "732-530-1348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERVIEW FOOT & ANKLE ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2010-04-06",
"status": "A",
"authorized_official_last_name": "DEITCH",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "732-747-2111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00103800",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00256900",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00220900",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3325407",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
- Brionna A Rivera, M.S. ED., CF-SLP
- Rivers Health Associates, LLC
- Colleen Marie Rivers, MD
- Riverside Plastic Surgery & Sinus Center LLC
- Riverview Cardiac Diagnostic Associates P.a.
- Riverview Medical Center
- Riverview Medical Center
- Riverview Medical Center Family Health Center
- Constance Frances Rizzo, NCPRSS
- Robert Korwin DMD Micoi Magd PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.