NPIMap

Organization Active NPI

Foot Care Center LLC

  • Podiatrist
  • Union, NJ
National Provider Identifier
1982809919
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Vera Khrakovsky, DPMNPI 1760573851
Title
Owner
Phone
(908) 687-3343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MD001942 NJ Primary

Addresses

Primary practice location

2565 Morris Ave
Union, NJ 07083-5613

Mailing address

2565 Morris Ave
Union, NJ 07083-5613
Phone (908) 687-3343

National Provider Directory

National Provider Directory

Locations

2565 Morris Ave
Union, NJ 07083
Phone (908) 687-2244

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • 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.