Healthcare Provider Details

I. General information

NPI: 1396744413
Provider Name (Legal Business Name): AFFILIATES IN PODIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 PLEASANT ST STE 203
CONCORD NH
03301-2588
US

IV. Provider business mailing address

PO BOX 825159
PHILADELPHIA PA
19182-5159
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-5281
  • Fax: 603-228-7095
Mailing address:
  • Phone: 866-626-1540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateNH

VIII. Authorized Official

Name: JORDAN MEYERS
Title or Position: DPM
Credential: DPM
Phone: 603-225-5281