Provider Demographics
NPI:1144357716
Name:ALWAYS IN REACH FAMILY FOOT CARE
Entity type:Organization
Organization Name:ALWAYS IN REACH FAMILY FOOT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-847-3050
Mailing Address - Street 1:80 HAZLET AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1600
Mailing Address - Country:US
Mailing Address - Phone:732-847-3050
Mailing Address - Fax:732-212-9338
Practice Address - Street 1:80 HAZLET AVE STE 6
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730
Practice Address - Country:US
Practice Address - Phone:732-847-3050
Practice Address - Fax:732-212-9338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00149300213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0916005Medicaid
NJ1231720001OtherMEDICARE DME PROVIDER #
NJ416427Medicare ID - Type Unspecified
NJ0916005Medicaid