Active NPI
New Jersey Podiatry, LLC
- Foot & Ankle Surgery Podiatrist
- Glen Rock, NJ
National Provider Identifier
1427457043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00319300
- Legal business name
- NEW JERSEY PODIATRY, LLC
- Practice address
- 331 Boulevard
Glen Rock, NJ 07452-3212 - Phone
- (973) 202-4933
- NPI assigned
- Aug 19, 2014
- 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
- Danny Gomez
- Title
- D.P.M.
- Phone
- (973) 202-4933
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00319300 | NJ | Primary |
Addresses
Primary practice location
331 Boulevard
Glen Rock, NJ 07452-3212
Mailing address
331 Boulevard
Glen Rock, NJ 07452-3212
Phone (973) 202-4933
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Ridgewood, NJ
- NPI 1174880603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581552000000",
"number": "1427457043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 BOULEVARD",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074523212",
"telephone_number": "973-202-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 BOULEVARD",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074523212",
"telephone_number": "973-202-4933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY PODIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-19",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "DANNY",
"authorized_official_title_or_position": "D.P.M.",
"authorized_official_telephone_number": "973-202-4933"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00319300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Rock, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.