Organization Active NPI

Foot and Ankle Center of Philadelphia

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1902044035
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002554L Issued in PA
Legal business name
FOOT AND ANKLE CENTER OF PHILADELPHIA
Practice address
235 N Broad Street
Suite 300
Philadelphia, PA 19107
Phone
(215) 568-3510
Fax
(215) 568-3529
NPI assigned
Jan 28, 2009
Last updated
Jan 28, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT AND ANKLE CENTER OF PHILAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Steven F. Boc, DPMNPI 1750381299
Title
Owner
Phone
(215) 568-3510

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 SC002554L PA Primary

Addresses

Primary practice location

235 N Broad Street
Suite 300
Philadelphia, PA 19107

Mailing address

235 N Broad Street
Suite 300
Philadelphia, PA 19107
Phone (215) 568-3510

Other identifiers 1

IdentifierTypeStateIssuer
0097805810MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Foot and Ankle Center of Philadelphia LLC2 organizations share this tax ID, including this one
Part of
Foot and Ankle Center of Philadelphia LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

235 N Broad St
Ste 300
Philadelphia, PA 19107
Phone (215) 568-3510

Practitioners & affiliated clinicians

Practitioners 1

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": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1902044035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N BROAD STREET",
            "address_2": "SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-568-3510",
            "fax_number": "215-568-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N BROAD STREET",
            "address_2": "SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-568-3510",
            "fax_number": "215-568-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF PHILADELPHIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT AND ANKLE CENTER OF PHILA",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "BOC",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-568-3510",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002554L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097805810",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.