Active NPI
Northfield Podiatry PC
- Foot & Ankle Surgery Podiatrist
- West Orange, NJ
National Provider Identifier
1871914531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00220000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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 DirectoryLocations
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.