Southampton Podiatry Associates

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTHAMPTON PODIATRY ASSOCIATES

Practice address

981 Rozel Ave
Southampton, PA 18966-4127

Phone

(215) 357-3668

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clement Michael D'Angelo, D.P.M.NPI 1447246319

Title

Partner/Owner

Phone

(215) 357-3668

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clement Michael D'Angelo, D.P.M.

  • Podiatrist
  • Southampton, PA
  • NPI 1447246319
  Medicare reassignment NPD Authorized official
• Maryann Elizabeth Ceglio, D.P.M.

  • Podiatrist
  • Southampton, PA
  • NPI 1346231446
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1932144417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 ROZEL AVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664127",
            "telephone_number": "215-357-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 ROZEL AVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664127",
            "telephone_number": "215-357-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON PODIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "215-357-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009770320002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "125780",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDEPEN. BC/KEYSTONE,PC",
            "identifier": "0023131000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southampton Chiropractic Center
• Southampton Dental Smiles
• Southampton Medical Practice PC
• Southampton Patient Coordination LLC
• Southampton Pediatrics
• Southampton Psychiatric Associates PC
• Southstar Care Inc (Preferred Care at Home)
• Speak Ez Inc
• Kim Spence, PT
• Mary Angelina Stanton

• Podiatrist in Southampton, PA
• Providers in Southampton, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.