NPIMap

Organization Active NPI

Scott a. Goler, DPM, PC

  • Podiatrist
  • Lodi, NJ
National Provider Identifier
1699816389
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00220600 Issued in NJ
Legal business name
SCOTT A. GOLER, DPM, PC
Doing business as
Braodway Foot Center
Practice address
1 S Main St
Suite 4
Lodi, NJ 07644-2240
Phone
(973) 779-7400
Fax
(973) 779-7460
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Scott Alan Goler, D.P.M.
Title
Physician
Phone
(973) 779-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00220600 NJ Primary

Addresses

Primary practice location

1 S Main St
Suite 4
Lodi, NJ 07644-2240

Mailing address

1 S Main St
Suite 4
Lodi, NJ 07644-2240
Phone (973) 779-7400

Other identifiers 1

IdentifierTypeStateIssuer
6356401MedicaidNJ

Other names 1

  • Braodway Foot Center Doing business as

National Provider Directory

National Provider Directory

Locations

1 S Main St
Ste 4
Lodi, NJ 07644
Phone (973) 779-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1699816389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S MAIN ST",
            "address_2": "SUITE 4",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442240",
            "telephone_number": "973-779-7400",
            "fax_number": "973-779-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S MAIN ST",
            "address_2": "SUITE 4",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442240",
            "telephone_number": "973-779-7400",
            "fax_number": "973-779-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A. GOLER, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "GOLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-779-7400",
        "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": "25MD00220600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6356401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braodway Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.