Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Family Foot Care, PC

Organization Foot Surgery Podiatrist · NPI 1174739940

Northeast Family Foot Care, PC provides Foot Surgery Podiatrist services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9892 Bustleton Ave Ste 303
Philadelphia, PA 19115-2184 Not confirmed with CMS for 16 years — call before visiting
Phone: (215) 673-3200
Fax: (215) 673-3884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence SC004123-L (PA)

Record details

NPI number1174739940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Myers — Owner · (215) 673-3200
NPI enumeratedMay 16, 2007
Last updated in NPPESNovember 13, 2009
Mailing address9892 Bustleton Ave, Suite 303, Philadelphia, PA 19115-2184

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