Organization Active NPI

Tender Foot Care PA

  • Podiatrist
  • Hackensack, NJ
National Provider Identifier
1629127832
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD00875 Issued in NJ
Legal business name
TENDER FOOT CARE PA
Practice address
140 Prospect Ave
12M
Hackensack, NJ 07601-2518
Phone
(201) 342-3656
Fax
(201) 342-2414
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Dr. Stephen N Hirschberg, DPM
Title
Podiatrist
Phone
(201) 342-3656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MD00875 NJ Primary

Addresses

Primary practice location

140 Prospect Ave
12M
Hackensack, NJ 07601-2518

Mailing address

140 Prospect Ave
12M
Hackensack, NJ 07601-2518
Phone (201) 342-3656

Other identifiers 1

IdentifierTypeStateIssuer
7202105MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1629127832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE",
            "address_2": "12M",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012518",
            "telephone_number": "201-342-3656",
            "fax_number": "201-342-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE",
            "address_2": "12M",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012518",
            "telephone_number": "201-342-3656",
            "fax_number": "201-342-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER FOOT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "HIRSCHBERG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "201-342-3656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD00875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7202105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.