Organization Active NPI

At Your Feet Podiatry LLC

  • Podiatrist
  • Dover, NJ
National Provider Identifier
1912369166
Registry record updated Mar 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00276200 Issued in NJ
Legal business name
AT YOUR FEET PODIATRY LLC
Practice address
387 W Blackwell St
Dover, NJ 07801-2559
Phone
(973) 366-8000
NPI assigned
Mar 27, 2016
Last updated
Mar 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2016

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

Authorized official

Name
Graciani Martinez, D.P.M.NPI 1811975519
Title
Sole Propietor
Phone
(917) 445-4992

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 25MD00276200 NJ Primary

Addresses

Primary practice location

387 W Blackwell St
Dover, NJ 07801-2559

Mailing address

387 W Blackwell St
Dover, NJ 07801-2559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160805001896 NJ Part B Supplier - Clinic/Group Practice 5597059006 Receives reassigned benefits from 2 practitioners
Practice locations: Dover, NJ
O20170124001648 NJ DME Supplier - Physician - Podiatry 5597059006 Practice locations: Dover, NJ

National Provider Directory

National Provider Directory

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": "1459036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459036800000",
    "number": "1912369166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012559",
            "telephone_number": "973-366-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT YOUR FEET PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-27",
        "last_updated": "2016-03-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "GRACIANI",
        "authorized_official_title_or_position": "SOLE PROPIETOR",
        "authorized_official_telephone_number": "917-445-4992",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00276200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2016; 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.