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NORTHEAST FAMILY FOOT CARE, PC
NPI 1174739940
Podiatrist - Foot Surgery in Philadelphia, PA

Active since May 16, 2007
9892 BUSTLETON AVE, SUITE 303, PHILADELPHIA, PA 19115(215) 673-3200(215) 673-3884 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northeast Family Foot Care, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST FAMILY FOOT CARE, PC (NPI 1174739940) is a healthcare organization registered as a foot surgery in Philadelphia, Pennsylvania and active in the NPI registry since May 2007. The organization lists Donna G. Myers, Owner, as its authorized official.

NPPES Registry Identity

NPI1174739940
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameNORTHEAST FAMILY FOOT CARE, PC
Location Address9892 BUSTLETON AVE, SUITE 303Philadelphia, PA 19115-2184
Mailing Address9892 Bustleton Ave, Suite 303Philadelphia, PA 19115-2184 · (215) 673-3200 · Fax (215) 673-3884
Phone(215) 673-3200
Fax(215) 673-3884
Organization SubpartNo
Authorized OfficialDonna G. MyersOwner · (215) 673-3200
Enumeration DateMay 16, 2007
Last NPPES UpdateNovember 13, 2009
✔ NPI 1174739940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in PA · SC004123-L
9892 BUSTLETON AVE, Philadelphia, PA 19115
Open in Google Maps ↗

Other Identifiers 5

OtherGOO1124200PA · Americhoice
Other480034747PA · Railroad Medicare
Medicare NSC5323970001PA
Other2018883000PA · Independence Blue Cross
Other32994PA · Health Andsenior Partners

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Family Foot Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northeast Family Foot Care, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Lustig, DPM
Podiatry
NPI 1902973407
9892 BUSTLETON AVE SUITE 303
Philadelphia, PA 19115
(215) 673-3200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Family Foot Care, PC's NPI number?

The NPI number for Northeast Family Foot Care, PC is 1174739940. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Northeast Family Foot Care, PC located?

Northeast Family Foot Care, PC is located at 9892 Bustleton Ave Suite 303, Philadelphia, PA 19115. The listed phone number is (215) 673-3200.

What is Northeast Family Foot Care, PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Northeast Family Foot Care, PC enrolled in Medicare?

Yes. Northeast Family Foot Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Family Foot Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Northeast Family Foot Care, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Family Foot Care, PC was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.