NPIMap

Organization Active NPI

Foot Healthcare Associates, PC

  • Podiatrist
  • Novi, MI
National Provider Identifier
1619214855
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001143 Issued in MI
Legal business name
FOOT HEALTHCARE ASSOCIATES, PC
Practice address
26850 Providence Pkwy
Suite 502
Novi, MI 48374-1213
Phone
(248) 258-0001
Fax
(248) 258-6779
NPI assigned
Jan 8, 2013
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT HEALTHCARE ASSOCIATES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Dr. Neal A Mozen, DPMNPI 1215913694
Title
President/Owner
Phone
(248) 258-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 5901001143 MI Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 5901002465 MI
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 5901002233 MI
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 5901002271 MI

Addresses

Primary practice location

26850 Providence Pkwy
Suite 502
Novi, MI 48374-1213

Mailing address

37595 7 Mile Rd Ste 370
Livonia, MI 48152-1003
Phone (248) 258-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130613000271 MI DME Supplier - Physician - Podiatry 5294705059 Practice locations: Novi, MI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Foot Healthcare Associa4 organizations share this tax ID, including this one
Part of
Foot Healthcare Associa

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1619214855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD STE 370",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521003",
            "telephone_number": "248-258-0001",
            "fax_number": "248-258-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 502",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-258-0001",
            "fax_number": "248-258-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT HEALTHCARE ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT HEALTHCARE ASSOCIATES, PC",
        "enumeration_date": "2013-01-08",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "MOZEN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-258-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001143",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002465",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002233",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.