Active NPI
Foot Healthcare Associates, PC
- Podiatrist
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001143
- 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
- Organization subpart
- Yes
- Parent organization
- FOOT HEALTHCARE ASSOCIATES, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Neal A Mozen, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001143 | MI | Primary |
| Podiatrist | 213E00000X | 5901002465 | MI | |
| Podiatrist | 213E00000X | 5901002233 | MI | |
| Podiatrist | 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
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215913694 | Other | MI | NPI |
| 1902096902 | Other | MI | NPI |
| 5901002465 | Other | MI | PODIATRIC PHYSICAN & SURGEON |
| 1457593162 | Other | MI | NPI |
| 5901001143 | Other | MI | PODIATRYIC PHYSICIAN & SURGEON |
| 1821253022 | Other | MI | NPI |
| 5901002233 | Other | MI | PODIATRIC PHYSICIAN & SURGEON |
| 0611170003 | Other | MI | MEDICARE DME |
| 5901002271 | Other | MI | PODIATRIC PHYSICIAN & SURGEON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Foot & Ankle Surgery Podiatrist
- Livonia, MI
- NPI 1295072445
5294705059
-
- Foot & Ankle Surgery Podiatrist
- Bingham Farms, MI
- NPI 1558398818
5294705059
National Provider Directory
National Provider Directory- Tax ID family
- Foot Healthcare Associa
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Howell, MI
- NPI 1407564545
-
- Foot & Ankle Surgery Podiatrist
- Livonia, MI
- NPI 1295072445
-
- Foot & Ankle Surgery Podiatrist
- Bingham Farms, MI
- NPI 1558398818
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.
-
- Foot & Ankle Surgery Podiatrist
- Bingham Farms, MI
- NPI 1558398818
Practitioners & affiliated clinicians
Practitioners 1
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": "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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1215913694",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1902096902",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRIC PHYSICAN & SURGEON",
"identifier": "5901002465",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1457593162",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRYIC PHYSICIAN & SURGEON",
"identifier": "5901001143",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1821253022",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRIC PHYSICIAN & SURGEON",
"identifier": "5901002233",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "0611170003",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRIC PHYSICIAN & SURGEON",
"identifier": "5901002271",
"state": "MI"
}
],
"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.