MEDICARE: FOOTPRINTS MEDICAL INC

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	MD2566	NJ

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	:	1669765459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOTPRINTS MEDICAL INC

Provider Business Mailing Address
First Line	:	163 NORTH AVENUE
Second Line	:
City	:	HILLSIDE
State	:	NJ
Zip	:	07205
Country	:	US
Telephone Number	:	908-355-4365
Fax Number	:	856-504-0200

Provider Business Practice Location Address
First Line	:	163 NORTH AVE
Second Line	:
City	:	HILLSIDE
State	:	NJ
Zip	:	07205-3125
Country	:	US
Telephone Number	:	908-355-4365
Fax Number	:	856-504-0200

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. MUYIWA AKIN OKURIBIDO SR.
Credential	:	DPM
Telephone Number	:	908-355-4365

Provider Enumeration Date	:	05/26/2011
Last Update Date	:	05/26/2011

Similar Medicare Providers

1346243334 — GEORGE M MUCHEN DPM
Practice Location Address:

163 NORTH AVE
HILLSIDE, NJ
07205-3125

Practice Phone: 908-355-4365
Practice Fax: 908-355-4365

1043159841 — SHALOM HOME CARE LLC
Practice Location Address:

1550 WYNDMOOR AVE
HILLSIDE, NJ
07205-1408

Practice Phone: 862-216-1786
Practice Fax:

1326996059 — TYLA MALIKKA EDWARDS
Practice Location Address:

1413 FRANKLIN ST
HILLSIDE, NJ
07205-1302

Practice Phone: 908-943-8120
Practice Fax:

1285582536 — WADIYAH SANTANA LSW
Practice Location Address:

168 NORTH AVE
HILLSIDE, NJ
07205-3127

Practice Phone: 908-578-7321
Practice Fax:

1639154255 — DRUG FAIR GROUP, INC.
Practice Location Address:

1303 N BROAD ST
HILLSIDE, NJ
07205-2404

Practice Phone: 908-436-2100
Practice Fax: 908-436-2108

1740265511 — SAS PHARMA INC
Practice Location Address:

1108 LIBERTY AVE
HILLSIDE, NJ
07205-2103

Practice Phone: 908-354-3169
Practice Fax: 908-354-4167

Directions to “FOOTPRINTS MEDICAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.