Organization Active NPI

Hopewell Foot and Ankle Center, LLC

  • Foot & Ankle Surgery Podiatrist
  • Hopewell, NJ
National Provider Identifier
1558566554
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD002621 Issued in NJ
Legal business name
HOPEWELL FOOT AND ANKLE CENTER, LLC
Practice address
21A E Broad St
Hopewell, NJ 08525-1830
Phone
(609) 333-8637
Fax
(609) 333-0093
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. David Michael Krausse, DPM
Title
Podiatrist Owner
Phone
(609) 333-8637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X MD002621 NJ Primary

Addresses

Primary practice location

21A E Broad St
Hopewell, NJ 08525-1830

Mailing address

21A E Broad St
Hopewell, NJ 08525-1830
Phone (609) 333-8637

Other identifiers 1

IdentifierTypeStateIssuer
8617104MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1558566554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21A E BROAD ST",
            "city": "HOPEWELL",
            "state": "NJ",
            "postal_code": "085251830",
            "telephone_number": "609-333-8637",
            "fax_number": "609-333-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21A E BROAD ST",
            "city": "HOPEWELL",
            "state": "NJ",
            "postal_code": "085251830",
            "telephone_number": "609-333-8637",
            "fax_number": "609-333-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL FOOT AND ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "KRAUSSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PODIATRIST OWNER",
        "authorized_official_telephone_number": "609-333-8637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD002621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8617104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.