Active NPI
Wachtel Podiatry Group, LLC
- Podiatrist
- Montgomeryville, PA
National Provider Identifier
1922317692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- WACHTEL PODIATRY GROUP, LLC
- Practice address
- 587 Bethlehem Pike Ste 800-900
Montgomeryville, PA 18936-9741 - Phone
- (215) 368-5319
- Fax
- (215) 368-0672
- NPI assigned
- Sep 29, 2010
- 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
- Mrs. Jennifer Borowiec
- Title
- Office Manager
- Phone
- (215) 368-5319
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PA | Primary | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PA | ||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | |||
| Radiology Podiatrist | 213ER0200X | PA | ||
| Sports Medicine Podiatrist | 213ES0000X | PA | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PA | ||
| Foot Surgery Podiatrist | 213ES0131X | PA | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | PA | ||
| Prosthetic/Orthotic Supplier | 335E00000X | PA |
Addresses
Primary practice location
587 Bethlehem Pike Ste 800-900
Montgomeryville, PA 18936-9741
Mailing address
587 Bethlehem Pike Ste 800-900
Montgomeryville, PA 18936-9741
Phone (215) 368-5319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
587 Bethlehem Pike
Ste 800
Montgomeryville, PA 18936
587 Bethlehem Pike
Ste 800900
Montgomeryville, PA 18936
Phone (215) 368-5319
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
- Montgomeryville, PA
- NPI 1235188913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1922317692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "587 BETHLEHEM PIKE STE 800-900",
"city": "MONTGOMERYVILLE",
"state": "PA",
"postal_code": "189369741",
"telephone_number": "215-368-5319",
"fax_number": "215-368-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 BETHLEHEM PIKE STE 800-900",
"city": "MONTGOMERYVILLE",
"state": "PA",
"postal_code": "189369741",
"telephone_number": "215-368-5319",
"fax_number": "215-368-0672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WACHTEL PODIATRY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-29",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "BOROWIEC",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "215-368-5319",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Radiology",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Sports Medicine",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomeryville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.