Organization Active NPI

Livingston Avenue Foot Care LLC

  • Podiatrist
  • North Brunswick, NJ
National Provider Identifier
1669771242
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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.NPI 1801942065
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20110914000335 NJ Part B Supplier - Clinic/Group Practice 1759552201 Receives reassigned benefits from 2 practitioners
Practice locations: North Brunswick, NJ

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.