Creek Crossing Podiatry LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

25MD00273500 Issued in NJ

Legal business name

CREEK CROSSING PODIATRY LLC

Practice address

309 Creek Crossing Blvd
Suite 309
Hainesport, NJ 08036-2767

Phone

(609) 261-9660

Fax

(609) 261-9440

NPI assigned

Mar 29, 2007

Last updated

May 12, 2008By 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

Dr. Bernadette Giangreco, DPM

Title

Podiatrist/Physician

Phone

(609) 261-9660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1861511875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CREEK CROSSING BLVD",
            "address_2": "SUITE 309",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362767",
            "telephone_number": "609-261-9660",
            "fax_number": "609-261-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CREEK CROSSING BLVD",
            "address_2": "SUITE 309",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362767",
            "telephone_number": "609-261-9660",
            "fax_number": "609-261-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK CROSSING PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "GIANGRECO",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "PODIATRIST/PHYSICIAN",
        "authorized_official_telephone_number": "609-261-9660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00273500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Sing Cheng, DPT
• Christopher T. Taylor DC, PC
• Christopher T. Taylor, DC LLC
• Amanda Ciavaglia, PA-C
• Michael James Conrad, M.D.
• Madison Critchfield
• Lisa Anne Demko, CCC/SLP
• Susan-Jo Derickson
• Jessica Marie Deshmukh, LCSW
• Jacey Dickinson, BCBA

• Foot Surgery Podiatrist in Hainesport, NJ
• Providers in Hainesport, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.