Organization Active NPI

Riverview Foot & Ankle Associates, P.C.

  • Podiatrist
  • Red Bank, NJ
National Provider Identifier
1407929631
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00103800 Issued in NJ
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

Updated by the provider on Apr 6, 2010

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)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 25MD00103800 NJ Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 25MD00256900 NJ
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3325407MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.