Foot Care Center LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MD001942 Issued in NJ

Legal business name

FOOT CARE CENTER LLC

Practice address

2565 Morris Ave
Union, NJ 07083-5613

Phone

(908) 687-3343

Fax

(908) 687-3343

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Vera Khrakovsky, DPM

Title

Owner

Phone

(908) 687-3343

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

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

• Dawn Marie Arnold, OD

  • Optometrist
  • Union, NJ
  • NPI 1447366588
  NPD
• Sally Beth Bregman, O.D.

  • Optometrist
  • Maplewood, NJ
  • NPI 1427037704
  NPD
• Richard Patrick Orsini

  • Optometrist
  • Union, NJ
  • NPI 1538940846
  NPD

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1982809919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835613",
            "telephone_number": "908-687-3343",
            "fax_number": "908-687-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835613",
            "telephone_number": "908-687-3343",
            "fax_number": "908-687-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "KHRAKOVSKY",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-687-3343",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD001942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "161791",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1928007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary J. Flores, ANP
• Gerard G Fluet, PT
• Focus Dental Group
• Diana Marie Foley, APN
• Carla Fontange, APN
• Glenn Joseph Forrester, MD
• Latarisha Fountain, MSW
• Paul Vincent Fragante Jr., PT, DPT
• Iona Francis-Santa Cruz, LPC
• Cheron D Francis

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.