Smithville Podiatry & Wound Care LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MD00252200 Issued in NJ

Legal business name

SMITHVILLE PODIATRY & WOUND CARE LLC

Practice address

29 South New York Rd
Suite 800
Smithville, NJ 08205

Phone

(609) 404-3200

Fax

(609) 404-4251

NPI assigned

Oct 1, 2014

Last updated

Oct 1, 2014By 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

Ms. Emma L. Bryan, DPM, CWS

Title

Owner

Phone

(609) 404-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1821491192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SOUTH NEW YORK RD",
            "address_2": "SUITE 800",
            "city": "SMITHVILLE",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-404-3200",
            "fax_number": "609-404-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SOUTH NEW YORK RD",
            "address_2": "SUITE 800",
            "city": "SMITHVILLE",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-404-3200",
            "fax_number": "609-404-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHVILLE PODIATRY & WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-404-3200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPM, CWS"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD00252200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Smithville, NJ
• Providers in Smithville, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.