Organization Active NPI

Foot Health Center, P.a.

  • Podiatrist
  • Haddon Heights, NJ
National Provider Identifier
1669586624
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT HEALTH CENTER, P.A.
Practice address
905 Station Ave
Haddon Heights, NJ 08035-1645
Phone
(856) 547-8826
Fax
(856) 795-5994
NPI assigned
Aug 18, 2006
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Janine Cottrill
Title
Office Manager
Phone
(856) 795-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

905 Station Ave
Haddon Heights, NJ 08035-1645

Mailing address

52 Berlin Rd
Suite 5000
Cherry Hill, NJ 08034-3574
Phone (856) 795-1003

Other identifiers 4

IdentifierTypeStateIssuer
0421600000OtherNJAMERIHEALTH
2808307MedicaidNJ
0509880006OtherNJNATIONAL HERITAGE INS. CO
1067235OtherNJHORIZON NJ HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1669586624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BERLIN RD",
            "address_2": "SUITE 5000",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343574",
            "telephone_number": "856-795-1003",
            "fax_number": "856-795-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 STATION AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351645",
            "telephone_number": "856-547-8826",
            "fax_number": "856-795-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT HEALTH CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "COTTRILL",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-795-1003"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0421600000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2808307",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL HERITAGE INS. CO",
            "identifier": "0509880006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1067235",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.