Wallington Footcare Center, Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00251800 Issued in NJ

Legal business name

WALLINGTON FOOTCARE CENTER, INC.

Practice address

905 Allwood Rd Ste 206
Clifton, NJ 07012-1946

Phone

(973) 458-8090

Fax

(973) 458-8091

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Wanda Kietlinski, D.P.M.

Title

President

Phone

(973) 458-8090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1699015867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD RD",
            "address_2": "SUITE 206",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121945",
            "telephone_number": "973-458-8090",
            "fax_number": "973-458-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD RD STE 206",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121946",
            "telephone_number": "973-458-8090",
            "fax_number": "973-458-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLINGTON FOOTCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "KIETLINSKI",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-458-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00251800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walid J. Baddoura M.D.,P.a.
• Gerald E Wall, RP
• Sara Walles, LCSW
• Justin Uriah Walters, MD
• Daniel Wanio
• Bindu C Warner
• Roger Nelson Warren, D.D.S.
• Beth Alyse Watchman, PH.D.

• Podiatrist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.