NPIMap

Organization Active NPI

Sole Wellness Podiatry PC

  • Podiatrist
  • Mount Laurel, NJ
National Provider Identifier
1700452620
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SOLE WELLNESS PODIATRY PC
Practice address
3221 Route 38 Ste 102
Mount Laurel, NJ 08054-9765
Phone
(732) 305-0891
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Danial KhalifaNPI 1467899898
Title
Owner
Phone
(732) 425-7772

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3221 Route 38 Ste 102
Mount Laurel, NJ 08054-9765

Mailing address

3221 Route 38 Ste 102
Mount Laurel, NJ 08054-9765

National Provider Directory

National Provider Directory

Locations

3221 Route 38
Ste 102
Mount Laurel, NJ 08054

Practitioners & affiliated clinicians

Practitioners 3

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": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1700452620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 ROUTE 38 STE 102",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 ROUTE 38 STE 102",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549765",
            "telephone_number": "732-305-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE WELLNESS PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "KHALIFA",
        "authorized_official_first_name": "DANIAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-425-7772"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.