Active NPI
Step Forward Podiatry PC
- Foot & Ankle Surgery Podiatrist
- Southampton, PA
National Provider Identifier
1902669773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- STEP FORWARD PODIATRY PC
- Doing business as
- Step Forward Podiatry, P.C.
- Practice address
- 963 Street Rd Ste 103B
Southampton, PA 18966-4728 - Phone
- (267) 710-7777
- Fax
- (267) 805-4501
- NPI assigned
- Feb 2, 2024
- 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
- Nargiza Mahmudova, DPM
- Title
- DPM., Owner
- Phone
- (267) 207-3955
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
963 Street Rd Ste 103B
Southampton, PA 18966-4728
Mailing address
963 Street Rd Ste 103B
Southampton, PA 18966-4728
Phone (267) 207-3955
Other names 1
- Step Forward Podiatry, P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
963 Street Rd
Ste 103
Southampton, PA 18966
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Southampton, PA
- NPI 1558710301
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710892800000",
"number": "1902669773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 STREET RD STE 103B",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664728",
"telephone_number": "267-207-3955",
"fax_number": "267-805-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 STREET RD STE 103B",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664728",
"telephone_number": "267-710-7777",
"fax_number": "267-805-4501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEP FORWARD PODIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-02",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A",
"authorized_official_last_name": "MAHMUDOVA",
"authorized_official_first_name": "NARGIZA",
"authorized_official_title_or_position": "DPM., OWNER",
"authorized_official_telephone_number": "267-207-3955",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Step Forward Podiatry, P.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.