Active NPI
Malden Podiatry LLC
- Podiatrist
- Lexington, MA
National Provider Identifier
1881233138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- MALDEN PODIATRY LLC
- Practice address
- 58 Buckman Dr
Lexington, MA 02421-6040 - Phone
- (781) 862-9393
- Fax
- (781) 862-7077
- NPI assigned
- Jan 4, 2020
- Last updated
- Jun 22, 2020
- 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. Susan D Wexler, DPM
- Title
- Sole Member
- Phone
- (781) 324-8704
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
58 Buckman Dr
Lexington, MA 02421-6040
Mailing address
58 Buckman Dr
Lexington, MA 02421-6040
Phone (781) 862-9393
National Provider Directory
National Provider DirectoryLocations
452 Pleasant St
Malden, MA 02148
Phone (781) 322-3224
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Lexington, MA
- NPI 1265404107
-
- Clinical Social Worker
- Newton Centre, MA
- NPI 1205858552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1881233138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 BUCKMAN DR",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024216040",
"telephone_number": "781-862-9393",
"fax_number": "781-862-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 BUCKMAN DR",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024216040",
"telephone_number": "781-862-9393",
"fax_number": "781-862-7077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALDEN PODIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-04",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "WEXLER",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "781-324-8704",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.