MEDICARE: FOOTDRX, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1457426595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOTDRX, LLP

Provider Business Mailing Address
First Line	:	314 W 14TH ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-5002
Country	:	US
Telephone Number	:	888-265-0610
Fax Number	:	212-366-4830

Provider Business Practice Location Address
First Line	:	314 W 14TH ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-5002
Country	:	US
Telephone Number	:	888-265-0610
Fax Number	:	212-366-4830

Authorized Official
Title or Position	:	PODIATRIST
Name	:	JONATHAN J RICHARDS
Credential	:
Telephone Number	:	888-265-0610

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	03/06/2026

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