Active NPI
Family Footcare Specialist, Inc.
- Primary Podiatric Medicine Podiatrist
- Pennsville, NJ
National Provider Identifier
1497861959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8188904 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.