Footcare Podiatry NJ PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOOTCARE PODIATRY NJ PC

Practice address

16 Treeline Dr
Annandale, NJ 08801-3463

Phone

(516) 263-6338

NPI assigned

Dec 19, 2018

Last updated

Feb 19, 2019By 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

Stephen BennettNPI 1467524702

Title

DPM

Phone

(516) 236-6338

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, and the practitioner matching its NPPES authorized official.

• Stephen J Bennett, DPM

  • Specialist
  • New York, NY
  • NPI 1467524702

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1588136246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TREELINE DR",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013463",
            "telephone_number": "516-263-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 TREELINE DR",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013463",
            "telephone_number": "516-263-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTCARE PODIATRY NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "516-236-6338"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neyda Demarie, LMT, C-MLDT
• Michael T Eisenhart, PT
• Evolution Mom LLC
• Carson Ferris-Zeolla, DMD
• Flannery Physical Therapy Limited Partnership (Physical Therapy Plus (Annandale))
• Brian S Frese, OTR/L, CHT
• Garden State Dental Group LLC
• Dean Gregory Gianarkis, MS, PHARMD, CGP
• Nicholas Joseph Gorini, DPT, CSCS
• Grounding Roots Nutrition

• Podiatrist in Annandale, NJ
• Providers in Annandale, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.