Organization Active NPI

Jersey Shore Podiatric Associates

  • Podiatrist
  • PT Pleasant, NJ
National Provider Identifier
1013203371
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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 PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

The complete record for this NPI in the NPI Registry API format.

{
    "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.

Verify at the official NPI Registry.