Organization Active NPI

Northfield Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • West Orange, NJ
National Provider Identifier
1871914531
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00220000 Issued in NJ
Legal business name
NORTHFIELD PODIATRY PC
Practice address
59 Main St
Suite 350
West Orange, NJ 07052-5341
Phone
(973) 243-2666
NPI assigned
Dec 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Dr. Patricia Williams Bennett, DPM
Title
President
Phone
(973) 243-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00220000 NJ Primary

Addresses

Primary practice location

59 Main St
Suite 350
West Orange, NJ 07052-5341

Mailing address

634 Eagle Rock Ave
Unit 201
West Orange, NJ 07052-6800
Phone (973) 243-2666

National Provider Directory

National Provider Directory

Locations

634 Eagle Rock Ave
Unit 201
West Orange, NJ 07052

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1871914531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 EAGLE ROCK AVE",
            "address_2": "UNIT 201",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526800",
            "telephone_number": "973-243-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MAIN ST",
            "address_2": "SUITE 350",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525341",
            "telephone_number": "973-243-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHFIELD PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-243-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00220000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.