Organization Active NPI

Traveling Podiatry Services LLC

  • Podiatrist
  • Huntingdon Valley, PA
National Provider Identifier
1669138467
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
TRAVELING PODIATRY SERVICES LLC
Practice address
770 Welsh Rd
Huntingdon Valley, PA 19006-6355
Phone
(215) 947-6944
NPI assigned
Nov 16, 2021
Last updated
Nov 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Dr. Marvin Marcelin, DPMNPI 1053835264
Title
Owner/Authorized Official
Phone
(954) 319-2196

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)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

770 Welsh Rd
Huntingdon Valley, PA 19006-6355

Mailing address

28 Marshwood Dr
Collegeville, PA 19426-3857
Phone (954) 319-2196

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220202000334 PA Part B Supplier - Clinic/Group Practice 4688067325 Receives reassigned benefits from 3 practitioners
Practice locations: Willow Grove, PA; Newtown, PA; Huntingdon Valley, PA; Abington, PA; Doylestown, PA

National Provider Directory

National Provider Directory

Locations

1003 Easton Rd
Ste 106
Willow Grove, PA 19090
Phone (215) 657-7884

Practitioners & affiliated clinicians

Practitioners 4

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": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1669138467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MARSHWOOD DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263857",
            "telephone_number": "954-319-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WELSH RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066355",
            "telephone_number": "215-947-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING PODIATRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "MARCELIN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-319-2196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.