North Atlantic Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD002672 Issued in NJ

Legal business name

NORTH ATLANTIC PODIATRY LLC

Practice address

376 Lafayette Rd RT 15 So
Suite 101
Sparta, NJ 07871

Phone

(973) 579-3173

Fax

(973) 579-2961

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

David C Mueller, DPMNPI 1265428965

Title

DPM Owner

Phone

(973) 579-3173

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• David C Mueller, DPM

  • Podiatrist
  • Sparta, NJ
  • NPI 1265428965
  Medicare reassignment NPD Authorized official
• Dmitry Mysh, MD

  • Gastroenterology Physician
  • Fort Myers, FL
  • NPI 1033105903
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1942493432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 LAFAYETTE RD RT 15 SO",
            "address_2": "SUITE 101",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-579-3173",
            "fax_number": "973-579-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 LAFAYETTE RD RT 15 SO",
            "address_2": "SUITE 101",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-579-3173",
            "fax_number": "973-579-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTIC PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DPM OWNER",
        "authorized_official_telephone_number": "973-579-3173",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD002672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9081402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane L Nies, LCSW LCADC
• NJ Golden Home Care
• NJ TLC Home Cares
• Derek Robert Noonan, D.M.D.
• Gina M Noonan, M.A.
• North Jersey Pro Rehab
• North Jersey Professional Rehabilitation LLC
• North Jersey Scoliosis and Physical Therapy Specialists, LLC
• North Jersey Sports Medicine & Orthopedic Center, LLC
• North Jersey Sports Medicine & Orthopedic Center, LLC

• Podiatrist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.