MEDFORD FOOT SPECIALISTS LLC (NPI# 1982763439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982763439 |
| Entity Type | Organization |
| Organization Name | MEDFORD FOOT SPECIALISTS LLC |
| Practice Address |
128 Route 70 Suite 14 Medford NJ 08055-2371 |
| Practice Telephone | 6097143434 |
| Practice Fax Number | 6097141933 |
| Mailing Telephone | 6097143434 |
| Mailing Fax Number | 6097141933 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | TARA L KOWALEWSKI (BILLING MANAGER) |
| Authorized Official Telephone | 8567530913 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7899700 | 05 |
| Street Address |
128 ROUTE 70 SUITE 14 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013961341 | Mark William Butler | Physical Therapist | 128 Route 70, Suite 2c, Medford, NJ 08055-2371 | 2006-05-20 |
| 1922648401 | Caitlin Martin | Occupational Therapist | 128 Route 70, Medford, NJ 08055-2371 | 2020-01-13 |
| 1144770975 | Virtua Medical Group, Pa | Clinic/Center | 128 Route 70, Suite 1, Medford, NJ 08055 | 2016-10-05 |
| 1922555457 | Scott Middleton | Physical Therapist | 128 Route 70, #2c, Medford, NJ 08055-2371 | 2016-09-01 |
| 1750743084 | Kadin Foot & Ankle Center PC | Podiatrist | 128 Route 70, Suite 14, Medford, NJ 08055-2371 | 2016-03-25 |
| 1427423920 | Paula Preston-dougherty | Registered Nurse | 128 Route 70, Medford, NJ 08055-2371 | 2015-12-09 |
| 1356752778 | Kathryn Farrell | Nurse Practitioner | 128 Route 70, Medford, NJ 08055-2371 | 2014-05-20 |
| 1699192005 | Danielle Murphy Cooney | Occupational Therapist | 128 Route 70, Suite 2 C, Medford, NJ 08055-2371 | 2014-03-24 |
| 1578906343 | Thomas Marzili Md LLC | Non-Pharmacy Dispensing Site | 128 Route 70, Suite 13, Medford, NJ 08055-2371 | 2013-04-11 |
| 1801131412 | Thomas J Marzili Md LLC | Clinic/Center | 128 Route 70, Suite 13, Medford, NJ 08055-2371 | 2012-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437339868 | North Atlantic Podiatry, P.C. | Podiatrist | 83 Sheridan Ave, Medford, MA 02155-4042 | 2007-11-14 |
| 1528166485 | Evan Chard Merrill | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2006-09-21 |
| 1013021070 | Foot Health Centers, P.a. | Podiatrist | 25 Jackson Rd, Suite D, Medford, NJ 08055-9220 | 2006-08-18 |
| 1538175187 | Jack E Luber | Podiatrist | 425 Salem St, Medford, MA 02155-3337 | 2006-08-01 |
| 1922032960 | Holdermann, Inc | Podiatrist | 490 Murphy Rd, Medford, OR 97504-8144 | 2006-07-10 |
| 1154387272 | Dan Seligman | Podiatrist | Zero Governors Ave, Suite 7, Medford, MA 02155-0001 | 2006-04-26 |
| 1720058522 | Michael F Wooster | Podiatrist | 700-6 Patchogue Yaphank Rd, Medford, NY 11763 | 2006-01-24 |
| 1922009356 | Burlington County Foot & Ankle Assoc, Inc | Podiatrist | 520 Stokes Road, Suite C-5, Medford, NJ 08055 | 2005-08-09 |
| 1467458737 | John L Sherman | Podiatrist | 26 City Hall Mall, Medford, MA 02155-4754 | 2005-06-22 |
| 1609266261 | Louie Lu Shou | Podiatrist | 131 Rte 70 W, Ste 100, Medford, NJ 08055-0805 | 2015-02-03 |
| Find all providers in MEDFORD | ||||
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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.