NPIMap

Organization Active NPI

Foot Specialists of Moorestown, PC

  • Foot & Ankle Surgery Podiatrist
  • Moorestown, NJ
National Provider Identifier
1609883370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00287500 Issued in NJ
Legal business name
FOOT SPECIALISTS OF MOORESTOWN, PC
Practice address
400 N Church St Ste 125
Moorestown, NJ 08057-1700
Phone
(856) 866-8998
Fax
(856) 866-9746
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Michael Santomauro Jr., DPM
Title
Owner
Phone
(856) 866-8998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00287500 NJ Primary

Addresses

Primary practice location

400 N Church St Ste 125
Moorestown, NJ 08057-1700

Mailing address

400 N Church St
Suite 125
Moorestown, NJ 08057-1700
Phone (856) 866-8998

Other identifiers 1

IdentifierTypeStateIssuer
4388810001MedicaidNJ

National Provider Directory

National Provider Directory

Locations

400 N Church St
Ste 125
Moorestown, NJ 08057
Phone (856) 866-8998

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609883370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N CHURCH ST",
            "address_2": "SUITE 125",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571700",
            "telephone_number": "856-866-8998",
            "fax_number": "856-866-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N CHURCH ST STE 125",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571700",
            "telephone_number": "856-866-8998",
            "fax_number": "856-866-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SPECIALISTS OF MOORESTOWN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOMAURO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-866-8998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00287500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4388810001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.