Medford Foot Specialists LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MEDFORD FOOT SPECIALISTS LLC

Practice address

128 Route 70
Suite 14
Medford, NJ 08055-2371

Phone

(609) 714-3434

Fax

(609) 714-1933

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Tara L Kowalewski

Title

Billing Manager

Phone

(856) 753-0913

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1982763439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70",
            "address_2": "SUITE 14",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-714-3434",
            "fax_number": "609-714-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70",
            "address_2": "SUITE 14",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-714-3434",
            "fax_number": "609-714-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD FOOT SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "KOWALEWSKI",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "856-753-0913"
    },
    "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": "7899700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medford Endodontics
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• Medford Family Dental Care PA
• Medford Family Pharmacy LLC (Medford Family Pharmacy)
• Medford Medical Supply, LLC
• Medford Periodontal Associates, LLC
• Medford Pharmacy
• Medford Pharmacy LLC
• Medford Shoprite, Inc.

• Podiatrist in Medford, NJ
• Providers in Medford, 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 2, 2008; 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.