Active NPI
Livingston Avenue Foot Care LLC
- Podiatrist
- North Brunswick, NJ
National Provider Identifier
1669771242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- LIVINGSTON AVENUE FOOT CARE LLC
- Practice address
- 602 Livingston Ave
North Brunswick, NJ 08902-2443 - Phone
- (732) 246-1377
- Fax
- (732) 246-0858
- NPI assigned
- Mar 21, 2011
- Last updated
- Mar 21, 2011
- 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
- Dr. Devindra Poonai, D.P.M.
- Title
- Owner
- Phone
- (732) 246-1377
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | Primary | |
| Public Medicine Podiatrist | 213EP0504X | NU | ||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | NU | ||
| Radiology Podiatrist | 213ER0200X | NU | ||
| Sports Medicine Podiatrist | 213ES0000X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | ||
| Foot Surgery Podiatrist | 213ES0131X | NU |
Addresses
Primary practice location
602 Livingston Ave
North Brunswick, NJ 08902-2443
Mailing address
602 Livingston Ave
North Brunswick, NJ 08902-2443
Phone (732) 246-1377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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
- North Brunswick, NJ
- NPI 1801942065
-
- Podiatrist
- North Brunswick, NJ
- NPI 1548699531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300665600000",
"number": "1669771242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 LIVINGSTON AVE",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089022443",
"telephone_number": "732-246-1377",
"fax_number": "732-246-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 LIVINGSTON AVE",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089022443",
"telephone_number": "732-246-1377",
"fax_number": "732-246-0858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVINGSTON AVENUE FOOT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-21",
"last_updated": "2011-03-21",
"status": "A",
"authorized_official_last_name": "POONAI",
"authorized_official_first_name": "DEVINDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-246-1377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "213EP0504X",
"taxonomy_group": "",
"desc": "Podiatrist, Public Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.