Organization Active NPI

Step Forward Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Southampton, PA
National Provider Identifier
1902669773
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Nargiza Mahmudova, DPMNPI 1558710301
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240830000029 PA Part B Supplier - Clinic/Group Practice 8123567484 Receives reassigned benefits from 1 practitioner
Practice locations: Southampton, PA
O20250327000121 PA DME Supplier - Physician - Podiatry 8123567484 Practice locations: Southampton, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.