ACTIVE FOOT CARE (NPI# 1881715647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881715647 |
| Entity Type | Organization |
| Organization Name | ACTIVE FOOT CARE |
| Practice Address |
77 Union St Dover NJ 07801-4030 |
| Practice Telephone | 9734421144 |
| Practice Fax Number | 9733663600 |
| Mailing Telephone | 9734421144 |
| Mailing Fax Number | 9733663600 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | DR. DAVID JEFREY GORDON (PODIATRIST) |
| Authorized Official Telephone | 9734421144 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
77 UNION ST |
| City | DOVER |
| State | NJ |
| Zip Code | 07801-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740298595 | Kalpana Prakash | Pediatrics | 77 Union St, Dover, NJ 07801-4077 | 2006-08-04 |
| 1114308624 | The Arc/morris County Chapter, New Jersey, Inc. | Day Training, Developmentally Disabled Services | 77 Union St, Dover, NJ 07801-4030 | 2015-06-11 |
| 1942474960 | David Gordon | Podiatrist | 77 Union St, Dover, NJ 07801-4030 | 2008-04-22 |
| 1396919114 | Dr Collins and Dr Prakash Pediatris Associates, L.l.p. | Pediatrics | 77 Union St, Dover, NJ 07801-4030 | 2008-04-14 |
| 1265603138 | Vicki Lynn Sadewitz | Speech-Language Pathologist | 77 Union St, Dover, NJ 07801 | 2008-03-18 |
| 1710995576 | Ronald A Collins | Pediatrics | 77 Union St, Dover, NJ 07801-4077 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808395 | Nereida Mendez | Counselor | 18 W. Blackwell St, Dover, NJ 07801 | 2020-03-30 |
| 1255968368 | Lyla H Azzam | Student in an Organized Health Care Education/Training Program | Zufall Health Center, 18 West Blackwell Street, Dover, NJ 07801 | 2020-03-26 |
| 1124675335 | Briana Marsich | Occupational Therapist | 65 North Susses Street, Dover, NJ 07801 | 2019-08-22 |
| 1285281352 | Health In Code, Inc | Physiological Laboratory | 2 East Blackwell Street, Suite 24, Dover, NJ 07801 | 2019-08-22 |
| 1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
| 1457506057 | Lauren S Majors | Nurse Practitioner | 18 W. Blackwell St., Dover, NJ 07801 | 2008-11-24 |
| 1306012182 | S M Golam Kibrea | Internal Medicine | 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 | 2008-05-01 |
| 1396921268 | East Blackwell Chiropractic, Inc | Chiropractor | 2 E Blackwell Street, Dover, NJ 07801 | 2008-01-10 |
| 1427247725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 E Mcfarlan St, Dover, NJ 07801 | 2007-10-23 |
| 1346449469 | Shari Lynn Morton | Occupational Therapy Assistant | 66 North Sussex Street, Dover, NJ 07801 | 2007-07-18 |
| Find all providers in zip 07801 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467436857 | Wayne C Gould | Podiatrist | 750 Central Ave Ste J, Dover Foot Specialty Ctr, PC, Dover, NH 03820-3434 | 2005-11-30 |
| 1285618678 | Marc R Bessette | Podiatrist | 750 Central Avenue, Suite J, Dover Foot Specialty Ctr, Dover, NH 03820 | 2005-11-30 |
| 1265422141 | Lee Russell Sayner | Podiatrist | 2620a N Wooster Ave, Dover, OH 44622-9461 | 2005-10-24 |
| 1093701476 | Andrew Wade Miller | Podiatrist | 515 Union Ave, Suite 147, Dover, OH 44622-3004 | 2005-09-21 |
| 1831196831 | Jacob Edward Hanlon | Podiatrist | 22 Old Rudnick Ln, Dover, DE 19901-4912 | 2005-07-05 |
| 1396150652 | Jana Balas | Podiatrist | 750 Central Ave Ste J, Dover, NH 03820 | 2014-06-25 |
| 1295157626 | Foundation Foot & Ankle LLC | Podiatrist | 2620a N Wooster Ave, Dover, OH 44622-9461 | 2014-01-21 |
| 1942474960 | David Gordon | Podiatrist | 77 Union St, Dover, NJ 07801-4030 | 2008-04-22 |
| 1376756080 | Fanta Vaughn Morgan-kitson | Podiatrist | 22 Old Rudnick Ln, Dover, DE 19901-4912 | 2007-05-08 |
| 1780711481 | Dover Foot Specialty Center, PC | Podiatrist | 750 Central Ave, Suite J, Dover, NH 03820-3434 | 2007-02-28 |
| Find all providers in DOVER | ||||
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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.