Foot Health Centers, P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOOT HEALTH CENTERS, P.A.

Practice address

65 Mechanic St
Red Bank, NJ 07701-1869

Phone

(732) 747-5525

Fax

(856) 795-5994

NPI assigned

Aug 18, 2006

Last updated

Dec 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janine Cottrill

Title

Office Manager

Phone

(856) 795-1003

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1750495719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BERLIN RD",
            "address_2": "SUITE 5000",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343574",
            "telephone_number": "856-795-1003",
            "fax_number": "856-795-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MECHANIC ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011869",
            "telephone_number": "732-747-5525",
            "fax_number": "856-795-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT HEALTH CENTERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "COTTRILL",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-795-1003"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0421600000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2808307",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1067234",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Red Bank, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.