Organization Active NPI

Manheim Family Foot Care LLC

  • Podiatrist
  • West Orange, NJ
National Provider Identifier
1942538178
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00276100 Issued in NJ
Legal business name
MANHEIM FAMILY FOOT CARE LLC
Doing business as
Step by Step Family Foot Care
Practice address
95 Clarken Dr
West Orange, NJ 07052-3444
Phone
(973) 545-0252
Fax
(973) 545-0253
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Dr. Debra Manheim, DPM
Title
Owner
Phone
(973) 545-0252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00276100 NJ Primary

Addresses

Primary practice location

95 Clarken Dr
West Orange, NJ 07052-3444

Mailing address

95 Clarken Dr
West Orange, NJ 07052-3444
Phone (973) 545-0252

Other names 1

  • Step by Step Family Foot Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1942538178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CLARKEN DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523444",
            "telephone_number": "973-545-0252",
            "fax_number": "973-545-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CLARKEN DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523444",
            "telephone_number": "973-545-0252",
            "fax_number": "973-545-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHEIM FAMILY FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "MANHEIM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-545-0252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00276100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Step by Step Family Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.