North Plainfield Podiatry

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

25MD00246800 Issued in NJ

Legal business name

NORTH PLAINFIELD PODIATRY

Practice address

654 Mount Prospect Ave # 301
Newark, NJ 07104-3110

Phone

(973) 482-7007

Fax

(973) 482-9333

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Javier Ponce, DPMNPI 1679689764

Title

Doctor

Phone

(201) 960-1512

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

North Plainfield Podiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Plainfield Podiatry

  • Non-Pharmacy Dispensing Site
  • Newark, NJ
  • NPI 1619498300
  NPD tax ID

Locations

Practitioners 1

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

• Javier Ricardo Ponce, DPM

  • Podiatrist
  • Newark, NJ
  • NPI 1679689764
  NPD Authorized official

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1720517360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 MOUNT PROSPECT AVE # 301",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110",
            "telephone_number": "973-482-7007",
            "fax_number": "973-482-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 MOUNT PROSPECT AVE # 301",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110",
            "telephone_number": "973-482-7007",
            "fax_number": "973-482-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PLAINFIELD PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-960-1512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00246800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Jersey Community Research Initiative
• North Jersey Community Research Initiative
• North Jersey Community Research Initiative
• North Jersey Orthopaedic Group
• North Plainfield Podiatry
• North Star Academy
• North Ward Behavioral Health Center LLC
• North Ward Infusion RX LLC
• North Ward Medical Arts LLC
• Northeast Hospital Physicians, P.a.

• Primary Podiatric Medicine Podiatrist in Newark, NJ
• Providers in Newark, 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 22, 2019; 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.