Provider Demographics
NPI:1013027002
Name:NEW CASTLE ASSOCIATES IN PODIATRY
Entity Type:Organization
Organization Name:NEW CASTLE ASSOCIATES IN PODIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSCIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:V
Authorized Official - Last Name:FEEHERY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:302-999-8511
Mailing Address - Street 1:620 STANTON CHRISTIANA RD
Mailing Address - Street 2:SUITE 303 METROFORM MEDICAL COMPLEX
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2133
Mailing Address - Country:US
Mailing Address - Phone:302-999-8511
Mailing Address - Fax:302-999-8645
Practice Address - Street 1:620 STANTON CHRISTIANA RD
Practice Address - Street 2:SUITE 303 METROFORM MEDICAL COMPLEX
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2133
Practice Address - Country:US
Practice Address - Phone:302-999-8511
Practice Address - Fax:302-999-8645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEE1-0000075213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE3880970001Medicare NSC
DE655115Medicare ID - Type Unspecified
DET26941Medicare UPIN