Podiatric Wellness Sports Medicine Center Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

25MD00263400 Issued in NJ

Legal business name

PODIATRIC WELLNESS SPORTS MEDICINE CENTER INC

Practice address

10 Main St
Suite E
New Egypt, NJ 08533-1400

Phone

(609) 758-8008

NPI assigned

Sep 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Phillip Dellegrotti Sr., DPMNPI 1477520567

Title

President/Podiatrist

Phone

(609) 758-8008

Specialties & licenses 1

Addresses

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.

• Vincent Phillip Delle Grotti, DPM

  • Foot Surgery Podiatrist
  • New Egypt, NJ
  • NPI 1477520567
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1508014242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "address_2": "SUITE E",
            "city": "NEW EGYPT",
            "state": "NJ",
            "postal_code": "085331400",
            "telephone_number": "609-758-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "address_2": "SUITE E",
            "city": "NEW EGYPT",
            "state": "NJ",
            "postal_code": "085331400",
            "telephone_number": "609-758-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC WELLNESS SPORTS MEDICINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-07",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "DELLEGROTTI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT/PODIATRIST",
        "authorized_official_telephone_number": "609-758-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NJ",
            "license": "25MD00263400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebe Matthews Pennypacker
• Plumsted Apothecary Inc
• Plumsted Apothecary Inc
• Plumsted Township Board of Education
• Plumsted Township EMS
• Casey Riccardi
• Taylor J Ringgold, DDS
• RTM Services
• James Jay Sawicki Jr., ATC
• Menna Seraj Eldin

• Podiatric Clinic/Center in New Egypt, NJ
• Providers in New Egypt, NJ by specialty
• Podiatric Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.