Active NPI
North Plainfield Podiatry
- Non-Pharmacy Dispensing Site
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 25MD00246800
- Legal business name
- NORTH PLAINFIELD PODIATRY
- Practice address
- 654 Mount Prospect Ave # 301
Newark, NJ 07104-3110 - Phone
- (973) 482-7007
- NPI assigned
- Jul 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Javier Ponce
- Title
- Owner
- Phone
- (973) 482-7007
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 25MD00246800 | NJ | Primary |
Addresses
Primary practice location
654 Mount Prospect Ave # 301
Newark, NJ 07104-3110
Mailing address
654 Mount Prospect Ave # 301
Newark, NJ 07104-3110
Phone (973) 482-7007
National Provider Directory
National Provider Directory- Tax ID family
- North Plainfield Podiatry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Podiatric Medicine Podiatrist
- Newark, NJ
- NPI 1720517360
Locations
654 Mount Prospect Ave
#301
Newark, NJ 07104
Phone (973) 482-7007
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.
-
- Podiatrist
- Newark, NJ
- NPI 1679689764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558483200000",
"number": "1619498300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 MOUNT PROSPECT AVE # 301",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071043110",
"telephone_number": "973-482-7007",
"fax_number": "973-482-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 MOUNT PROSPECT AVE # 301",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071043110",
"telephone_number": "973-482-7007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH PLAINFIELD PODIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-03",
"last_updated": "2019-05-22",
"status": "A",
"authorized_official_last_name": "PONCE",
"authorized_official_first_name": "JAVIER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-482-7007"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NJ",
"license": "25MD00246800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
- North Jersey AIDS Alliance (Njcri)
- North Jersey Community Research Initiative (Njcri)
- North Jersey Community Research Initiative
- North Jersey Community Research Initiative (Njcri)
- North Jersey Orthopaedic Group
- North Plainfield Podiatry
- North Star Academy
- North Ward Behavioral Health Center LLC
- North Ward Infusion RX LLC
- North Ward Medical Arts LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.