BURLINGTON COUNTY FOOT & ANKLE ASSOC, INC (NPI# 1922009356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922009356 |
| Entity Type | Organization |
| Organization Name | BURLINGTON COUNTY FOOT & ANKLE ASSOC, INC |
| Practice Address |
520 Stokes Road Suite C-5 Medford NJ 08055 |
| Practice Telephone | 6097140052 |
| Practice Fax Number | 6097143087 |
| Mailing Telephone | 6097140052 |
| Mailing Fax Number | 6097143087 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2015-11-24 |
| Authorized Official Name | DR. JOHN M DEPALMA (PRESIDENT) |
| Authorized Official Telephone | 6097140052 |
| Authorized Official Credential | DPM |
| 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 |
|---|---|---|---|
| BC/BS PERSONAL CHOICE | 0000059327 | 01 | |
| RR MEDICARE | DA3758 | 01 | |
| AMERIHEALTH ADMINISTRATOR | 0000059327 | 01 | |
| KEYSTONE EAST | 0022161000 | 01 | |
| AMERIHEALTH | 0022161000 | 01 |
| Street Address |
520 STOKES ROAD SUITE C-5 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134494347 | Kim S.nagle, Dc | Chiropractor | 520 Stokes Road, Suite B1, Medford, NJ 08055-2915 | 2012-03-21 |
| 1275633562 | David Charles Lee | Psychiatry & Neurology | 520 Stokes Road, Suite A-4, Medford, NJ 08055-2904 | 2006-09-25 |
| 1205828787 | John M. Depalma | Podiatrist | 520 Stokes Road, Suite C-5, Medford, NJ 08055 | 2005-08-19 |
| 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 |
| 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 |
| 1396189585 | Sara El Bashir | Podiatrist | 1641 Route 112, Medford, NY 11763-3663 | 2013-04-18 |
| 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.