CMS-1500 Box 24J / 33a • NPI
1912369166
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
213E00000X (CMS 48)
Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist
Box 32 Service Location & ZIP+4
387 W BLACKWELL ST, DOVER, NJ, 07801-2559
✓ 9-Digit EDI 837 ZIP+4 (07801-2559)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1912369166 (AT YOUR FEET PODIATRY LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1912369166 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AT YOUR FEET PODIATRY LLC |
| Plain-English Specialty | Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist NUCC Code: 213E00000X (Podiatrist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 387 W BLACKWELL ST, DOVER, NJ, 07801-2559 |
| Practice Telephone / Fax | Tel: (973) 366-8000 |
| Administrative Mailing Address | 387 W BLACKWELL ST, DOVER, NJ, 07801-2559 |
| Enumeration & Last Sync | Enumerated: 2016-03-27 | CMS Record Updated: 2016-03-27 |
| Authorized Official | GRACIANI MARTINEZ (Sole propietor) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (213E00000X)
What Does Taxonomy Code 213E00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213E00000X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AT YOUR FEET PODIATRY LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
213E00000X — PodiatristPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist | State: NJ | License: 25MD00276200 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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