PORT RICHMOND FAMILY FOOTCARE, PC (NPI# 1215205992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215205992 |
| Entity Type | Organization |
| Organization Name | PORT RICHMOND FAMILY FOOTCARE, PC |
| Practice Address |
1561 Route 38 Ste 4 Lumberton NJ 08048-2939 |
| Practice Telephone | 6092612223 |
| Practice Fax Number | 6097021111 |
| Mailing Telephone | 6092612223 |
| Mailing Fax Number | 6097021111 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | DR. STEVEN SPIVAK (VICE PRESIDENT) |
| Authorized Official Telephone | 6092612223 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
25MD002658 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5470307 | 05 |
| Street Address |
1561 ROUTE 38 STE 4 |
| City | LUMBERTON |
| State | NJ |
| Zip Code | 08048-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1598139230 | Donise Paullette Dumpson | Nurse Anesthetist, Certified Registered | 140 Mt. Holly Bypass, Lumberton, NJ 08048 | 2015-11-18 |
| 1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
| 1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
| 1396039772 | Linda Jean Wiles | Social Worker | 305 Dove Court, Lumberton, NJ 08048 | 2011-06-03 |
| 1073743365 | Advocating Counseling Enrichment and Development LLC | Social Worker | 41 Bridge Rd, Lumberton, NJ 08048 | 2009-07-21 |
| 1801940721 | Prathima Neruganti | Dentist | 1636 Route 38 Ste 21, Lumberton Plaza, Lumberton, NJ 08048 | 2007-01-22 |
| 1932288743 | Dental Health Associates Pa | Dentist | 1636 21 Rt 38, Lumberton Plaza, Lumberton, NJ 08048 | 2006-11-03 |
| 1093898769 | Patricia R Lyons | Dentist | 1636 21 Rte 38 Lumberton Plaza, Dental Health Associates Pa, Lumberton, NJ 08048 | 2006-10-24 |
| 1295828598 | George M Budd | Dentist | 737 Main Street, George M Budd Dds, Lumberton, NJ 08048 | 2006-10-02 |
| Find all providers in zip 08048 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376093682 | Virtua Medical Group, Pa | Podiatrist | 1613 Route 38, 1st Fl Back, Lumberton, NJ 08048 | 2016-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985770 | Proactive Foot and Ankle | Podiatrist | 466 Old Hook Rd Ste 24d, Emerson, NJ 07630-1368 | 2018-09-09 |
| 1902356215 | Virtua Medical Group, Pa | Podiatrist | 1001 Route 73 N Uppr Level Back, Marlton, NJ 08053-4524 | 2016-10-11 |
| 1578013884 | Virtua Medical Group, Pa | Podiatrist | 239 Hurffville Crosskeys Rd Ste 370b, Sewell, NJ 08080-4002 | 2016-10-11 |
| 1346695335 | Raphael Yeung | Podiatrist | 252 Bridge St Bldg G2nd, Metuchen, NJ 08840-2294 | 2016-04-27 |
| 1770913493 | New Jersey Podiatric Physicians and Surgeons Group,llc | Podiatrist | 32 Jorgenson Ln, Fairfield, NJ 07004-1216 | 2013-11-15 |
| 1033400593 | Nj Foot Docs PC | Podiatrist | 148 Route 31, 2nd Floor, Flemington, NJ 08822-4967 | 2011-05-02 |
| 1932413606 | Home Foot Care Services LLC | Podiatrist | 40 Stirling Rd Ste 207, Watchung, NJ 07069-5900 | 2010-08-04 |
| 1538480678 | Dr. David Plotkin P.a. | Podiatrist | 619 Morris Avenue, Springfield, NJ 07081-1511 | 2010-06-11 |
| 1114241387 | Kopylenko Dpm PC | Podiatrist | 4 Bridge Plaza Dr Ste 6, Manalapan, NJ 07726 | 2010-03-17 |
| 1346578572 | Pretty Feet Podiatry Corp | Podiatrist | 94 George St, Tenafly, NJ 07670-2011 | 2009-11-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.