MEDICARE: AFFILIATES IN PODIATRY PC

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	213E00000X	Podiatrist		NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396744413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFILIATES IN PODIATRY PC

Provider Business Mailing Address
First Line	:	PO BOX 825159
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-5159
Country	:	US
Telephone Number	:	866-626-1540
Fax Number	:

Provider Business Practice Location Address
First Line	:	248 PLEASANT ST
Second Line	:	STE 203
City	:	CONCORD
State	:	NH
Zip	:	03301-2588
Country	:	US
Telephone Number	:	603-225-5281
Fax Number	:	603-228-7095

Authorized Official
Title or Position	:	DPM
Name	:	JORDAN MEYERS
Credential	:	DPM
Telephone Number	:	603-225-5281

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	09/16/2025

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