Organization Active NPI

Malden Podiatry LLC

  • Podiatrist
  • Lexington, MA
National Provider Identifier
1881233138
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Dr. Susan D Wexler, DPMNPI 1265404107
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.