Hillsborough Podiatry Group, LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

25MD00253800 Issued in NJ

Legal business name

HILLSBOROUGH PODIATRY GROUP, LLC

Practice address

719 Route 206
Suite 107
Hillsborough, NJ 08844-1536

Phone

(908) 431-5901

Fax

(908) 431-5906

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Marc Leonard Mizrachy, DPMNPI 1275519738

Title

Owner

Phone

(908) 431-5901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Marc Leonard Mizrachy, D.P.M.

  • Podiatrist
  • Hillsborough, NJ
  • NPI 1275519738
  Medicare reassignment NPD Authorized official
• Jennifer Kmieczak, DPM

  • Podiatrist
  • Englewood, NJ
  • NPI 1497798953
  Medicare reassignment NPD

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1700029048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 ROUTE 206",
            "address_2": "SUITE 107",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441536",
            "telephone_number": "908-431-5901",
            "fax_number": "908-431-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 ROUTE 206",
            "address_2": "SUITE 107",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441536",
            "telephone_number": "908-431-5901",
            "fax_number": "908-431-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBOROUGH PODIATRY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "MIZRACHY",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-431-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00253800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillsborough Massage Therapy LLC
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• Hillsborough Optical Shoppe
• Hillsborough Pediatrics, P.C.
• Hillsborough Physical Therapy, PA
• Hillsborough Radiology Associates, LLC
• Hillsborough Radiology Centers, LLC
• Hillsborough Township Board of Education
• Jillian Himelrick, OTR/L
• Smita Rajeev Hiremath, AUD,CCC-A

• Primary Podiatric Medicine Podiatrist in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Primary Podiatric Medicine Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.