NPIMap

Organization Active NPI

Allentown Family Foot Care Professional Corporation

  • Podiatrist
  • Allentown, PA
National Provider Identifier
1891770483
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ALLENTOWN FAMILY FOOT CARE PROFESSIONAL CORPORATION
Practice address
2414 Walbert Ave
Allentown, PA 18104-1326
Phone
(610) 434-7000
Fax
(610) 434-7029
NPI assigned
Dec 7, 2005
Last updated
Jun 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Authorized official

Name
Raymond Fritz Jr., DPMNPI 1881679983
Title
President
Phone
(610) 434-7000

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
Podiatrist 213E00000X Primary

Addresses

Primary practice location

2414 Walbert Ave
Allentown, PA 18104-1326

Mailing address

2414 Walbert Ave
Allentown, PA 18104-1326
Phone (610) 434-7000

Other identifiers 1

IdentifierTypeStateIssuer
0015710130006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000042 PA Part B Supplier - Clinic/Group Practice 8921900804 Receives reassigned benefits from 8 practitioners
Practice locations: Allentown, PA; Wahutport, PA

National Provider Directory

National Provider Directory

Locations

1633 N 26th St
Ste 101
Allentown, PA 18104
Phone (610) 434-7000

2414 Walbert Ave
Allentown, PA 18104
Phone (610) 434-7000

215 N Best Ave
Lowr
Walnutport, PA 18088

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8jbgxuNWdtuelGLFHIXdkqcQh-JLjFrK/

Practitioners & affiliated clinicians

Practitioners 12

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": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1891770483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041326",
            "telephone_number": "610-434-7000",
            "fax_number": "610-434-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041326",
            "telephone_number": "610-434-7000",
            "fax_number": "610-434-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENTOWN FAMILY FOOT CARE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-434-7000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015710130006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.