Organization Active NPI

Family Footcare Specialist, Inc.

  • Primary Podiatric Medicine Podiatrist
  • Pennsville, NJ
National Provider Identifier
1497861959
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
FAMILY FOOTCARE SPECIALIST, INC.
Practice address
264 S Broadway
Pennsville, NJ 08070-2724
Phone
(856) 678-6678
Fax
(856) 678-4050
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Richard Morris Sooy Jr., D.P.M.
Title
President
Phone
(856) 678-6678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

264 S Broadway
Pennsville, NJ 08070-2724

Mailing address

264 S Broadway
Pennsville, NJ 08070-2724
Phone (856) 678-6678

Other identifiers 1

IdentifierTypeStateIssuer
8188904MedicaidNJ

National Provider Directory

National Provider Directory

Locations

264 S Broadway
Pennsville, NJ 08070
Phone (856) 678-6678

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1497861959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 S BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702724",
            "telephone_number": "856-678-6678",
            "fax_number": "856-678-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702724",
            "telephone_number": "856-678-6678",
            "fax_number": "856-678-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOTCARE SPECIALIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "SOOY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-678-6678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8188904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.