Walk Well Summit LLC

Primary specialty

PedorthistTaxonomy code 224L00000X

Legal business name

WALK WELL SUMMIT LLC

Practice address

413 Springfield Ave
Summit, NJ 07901-2603

Phone

(908) 273-7979

Fax

(908) 273-7617

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Peter M. Rooney, C.PED

Title

Owner

Phone

(908) 766-4737

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1679638456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SPRINGFIELD AVE",
            "address_2": "WALKWELL SUMMIT, LLC",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012603",
            "telephone_number": "908-273-7979",
            "fax_number": "908-273-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SPRINGFIELD AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012603",
            "telephone_number": "908-273-7979",
            "fax_number": "908-273-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK WELL SUMMIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-766-4737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "335E00000X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7830408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Vitelli, PMHNP
• Lara Von Berg, M.D., M.P.H.
• Nishant Vyas, M.D.
• Leslie J Wald, OTR
• Walgreen Co
• Stella Wallen, CRNA
• Andrew Christopher Walrond, MD
• Rosemary Theresa Walsh, RN, LPC
• Haizhi Wang, M.D.
• Maggie Ann Wang, NP

• Pedorthist in Summit, NJ
• Providers in Summit, NJ by specialty
• Pedorthist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.