Bloomingdale Podiatry Center, PA

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

25MD00175800 Issued in NJ

Legal business name

BLOOMINGDALE PODIATRY CENTER, PA

Practice address

9 Carey Ave
Suite 300
Butler, NJ 07405-1407

Phone

(973) 838-8885

Fax

(973) 283-1875

NPI assigned

Dec 15, 2006

Last updated

Dec 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Michael Palmarozzo, D.P.M.NPI 1063574929

Title

President

Phone

(973) 838-8885

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bloomingdale Podiatry Center Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Michael Palmarozzo, D.P.M.

  • Foot Surgery Podiatrist
  • Butler, NJ
  • NPI 1063574929
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1437211323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "BLOOMINGDALE",
            "state": "NJ",
            "postal_code": "074030015",
            "telephone_number": "973-838-8885",
            "fax_number": "973-283-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CAREY AVE",
            "address_2": "SUITE 300",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074051407",
            "telephone_number": "973-838-8885",
            "fax_number": "973-283-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGDALE PODIATRY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "PALMAROZZO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-838-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00175800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID NUMBER",
            "identifier": "0827428-004",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F00962",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALH CARE",
            "identifier": "P378132",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomingdale Podiatry Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Siria A Arias Chevez
• Axis Physical Therapy, LLC
• Rebecca Bae, D.D.S.
• Karin L Beach, RN, BSN, ICCE, ICD
• Sarah W Blecherman, MD
• Borough of Butler
• Kathleen Anne Brand, RPH, CCP
• Abigail Brown, ATC
• Anne Theresa Brown, L.AC.
• Angela Nicole Bussi, COTA

• Foot Surgery Podiatrist in Butler, NJ
• Providers in Butler, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.