Active NPI
Jersey Shore Podiatric Associates
- Podiatrist
- PT Pleasant, NJ
National Provider Identifier
1013203371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- JERSEY SHORE PODIATRIC ASSOCIATES
- Practice address
- 2911 Route 88 Ste 3
PT Pleasant, NJ 08742-2871 - Phone
- (732) 892-2100
- Fax
- (732) 892-2111
- NPI assigned
- Jun 24, 2011
- Organization subpart
- No
National Provider Directory
National Provider Directory- Tax ID family
- Jersey Shore Podiatric Associates PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Sea Girt, NJ
- NPI 1376575993
-
- Non-Pharmacy Dispensing Site
- Sea Girt, NJ
- NPI 1205720398
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad R Greskiwcz
- Title
- Credentialing
- Phone
- (314) 909-1920
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | 25MD00282000 | NJ |
Addresses
Primary practice location
2911 Route 88 Ste 3
PT Pleasant, NJ 08742-2871
Mailing address
PO Box 825159
Philadelphia, PA 19182-5159
Phone (732) 892-2100
NPI Registry JSON
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1013203371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 825159",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191825159",
"telephone_number": "732-892-2100",
"fax_number": "732-892-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 ROUTE 88 STE 3",
"city": "PT PLEASANT",
"state": "NJ",
"postal_code": "087422871",
"telephone_number": "732-892-2100",
"fax_number": "732-892-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY SHORE PODIATRIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-24",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "GRESKIWCZ",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "314-909-1920"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NJ",
"license": "25MD00282000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in PT Pleasant, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.