Organization Active NPI

Family Podiatry Associates, PA

  • Foot & Ankle Surgery Podiatrist
  • Aventura, FL
National Provider Identifier
1700073327
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2192 Issued in FL
Legal business name
FAMILY PODIATRY ASSOCIATES, PA
Practice address
17971 Biscayne Blvd
Suite 109
Aventura, FL 33160-2578
Phone
(305) 933-2666
Fax
(305) 933-3508
NPI assigned
Sep 27, 2007
Last updated
Nov 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Amy Sue Dunetz, DPMNPI 1780606889
Title
President
Phone
(305) 933-2666

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2192 FL Primary

Addresses

Primary practice location

17971 Biscayne Blvd
Suite 109
Aventura, FL 33160-2578

Mailing address

17971 Biscayne Blvd
Suite 109
Aventura, FL 33160-2578
Phone (305) 933-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101230000742 FL Part B Supplier - Clinic/Group Practice 1951422880 Receives reassigned benefits from 2 practitioners
Practice locations: Aventura, FL; Davie, FL

National Provider Directory

National Provider Directory

Locations

17971 Biscayne Blvd
Ste 109
Aventura, FL 33160
Phone (305) 933-2666

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1700073327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17971 BISCAYNE BLVD",
            "address_2": "SUITE 109",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602578",
            "telephone_number": "305-933-2666",
            "fax_number": "305-933-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17971 BISCAYNE BLVD",
            "address_2": "SUITE 109",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602578",
            "telephone_number": "305-933-2666",
            "fax_number": "305-933-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PODIATRY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "DUNETZ",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-933-2666",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.