Organization Active NPI

The Foot Group, LLP

  • Foot & Ankle Surgery Podiatrist
  • Maplewood, NJ
National Provider Identifier
1740331149
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD01374 Issued in NJ
Legal business name
THE FOOT GROUP, LLP
Practice address
2168 Millburn Ave
Maplewood, NJ 07040-2640
Phone
(973) 763-1248
NPI assigned
Jan 15, 2007
Last updated
Dec 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Dr. Michael Erwin Eglow, DPMNPI 1659343838
Title
Managing Partner
Phone
(973) 763-1248

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 Podiatrist 213ES0103X MD01374 NJ Primary

Addresses

Primary practice location

2168 Millburn Ave
Maplewood, NJ 07040-2640

Mailing address

2168 Millburn Ave
Maplewood, NJ 07040-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031208000226 NJ Part B Supplier - Clinic/Group Practice 6002712593 Receives reassigned benefits from 2 practitioners
Practice locations: Livingston, NJ
O20100930057900 NJ DME Supplier - Physician - Podiatry 6002712593 Practice locations: Livingston, NJ

National Provider Directory

National Provider Directory

Locations

124 E Mount Pleasant Ave
Livingston, NJ 07039
Phone (973) 992-6864

315 E Northfield Rd
Ste 1B
Livingston, NJ 07039
Phone (973) 992-0002

Practitioners & affiliated clinicians

Practitioners 3

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1740331149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402640",
            "telephone_number": "973-763-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "EGLOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "973-763-1248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD01374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.