Footprints Medical Inc
Organization Active NPI Podiatrist · Hillside, NJ
NPI 1669765459 · NPPES record last updated May 26, 2011
Key facts
- NPI
- 1669765459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- MD2566 (NJ)
- Legal business name
- FOOTPRINTS MEDICAL INC
- Practice address
- 163 North Ave
Hillside, NJ 07205-3125 - Phone
- (908) 355-4365
- Fax
- (856) 504-0200
- NPI assigned
- May 26, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Muyiwa Akin Okuribido Sr., DPM
- Title
- Director
- Phone
- (908) 355-4365
Practitioners 2
-
George M Muchen, DPM
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | MD2566 | NJ | Yes |
Addresses
Primary practice location
163 North Ave
Hillside, NJ 07205-3125
Mailing address
163 North Avenue
Hillside, NJ 07205
Phone (908) 355-4365
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8442207 | Medicaid | NJ |
Other providers in Hillside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.