Organization Active NPI

Bayside Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Somers Point, NJ
National Provider Identifier
1972657310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00248000 Issued in NJ
Legal business name
BAYSIDE FOOT & ANKLE
Practice address
501 Bay Ave
Ste 103
Somers Point, NJ 08244
Phone
(609) 926-7006
Fax
(609) 926-7016
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Terry Lindemuth
Title
Om
Phone
(609) 926-7006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00248000 NJ Primary

Addresses

Primary practice location

501 Bay Ave
Ste 103
Somers Point, NJ 08244

Mailing address

501 Bay Ave
Ste 103
Somers Point, NJ 08244
Phone (609) 926-7006

Other identifiers 1

IdentifierTypeStateIssuer
813300MedicaidNJ

Other names 1

  • Dr Sandra Dalton Other name

National Provider Directory

National Provider Directory

Locations

501 Bay Ave
Ste 103
Somers Point, NJ 08244
Phone (609) 926-7006

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972657310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAY AVE",
            "address_2": "STE 103",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-926-7006",
            "fax_number": "609-926-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAY AVE",
            "address_2": "STE 103",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-926-7006",
            "fax_number": "609-926-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDEMUTH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "609-926-7006"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00248000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "813300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Sandra Dalton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.