Organization Active NPI

Grove Podiatry Association Inc

  • Foot Surgery Podiatrist
  • Carneys Point, NJ
National Provider Identifier
1972704153
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00138600 Issued in NJ
Legal business name
GROVE PODIATRY ASSOCIATION INC
Practice address
291 Harding Hwy
Suite 2
Carneys Point, NJ 08069-2229
Phone
(856) 299-1064
Fax
(856) 299-2375
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Richard W Cooperman, DPM
Title
President
Phone
(856) 299-1064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 25MD00138600 NJ Primary

Addresses

Primary practice location

291 Harding Hwy
Suite 2
Carneys Point, NJ 08069-2229

Mailing address

291 Harding Hwy
Suite 2
Carneys Point, NJ 08069-2229
Phone (856) 299-1064

National Provider Directory

National Provider Directory

Locations

291 Harding Hwy
Ste 2
Carneys Point, NJ 08069
Phone (856) 299-1064

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1972704153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 HARDING HWY",
            "address_2": "SUITE 2",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692229",
            "telephone_number": "856-299-1064",
            "fax_number": "856-299-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 HARDING HWY",
            "address_2": "SUITE 2",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692229",
            "telephone_number": "856-299-1064",
            "fax_number": "856-299-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE PODIATRY ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "COOPERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-299-1064",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00138600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carneys Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.