New Jersey Podiatric Physicians & Surgeons Group, LLC
Organization Active NPI Podiatrist · Marlton, NJ
NPI 1013465111 · NPPES record last updated Sep 17, 2016
Key facts
- NPI
- 1013465111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC
- Practice address
- 105 Evesboro Medford Rd
Suite K
Marlton, NJ 08053-3865 - Phone
- (856) 810-0444
- Fax
- (856) 797-8011
- NPI assigned
- Sep 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Hal Ornstein, DPM
- Title
- Ceo
- Phone
- (512) 994-5333
Corporate family (same tax ID) 36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180628000724 | NJ | DME Supplier - Physician - Podiatry | 4385870153 | Practice locations: Marlton, NJ |
National Provider Directory
- Tax ID family
- New Jersey Podiatric Physicians Surgeons Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
105 Evesboro Medford Rd
Suite K
Marlton, NJ 08053-3865
Mailing address
4633 Hwy 9
Howell, NJ 07731-3324
Phone (732) 994-5333
Other names
- McAnespey Podiatry Center
Other providers in Marlton, NJ
- New Image Wellness
- New Jersey CVS Pharmacy LLC
- New Jersey CVS Pharmacy LLC
- New Jersey CVS Pharmacy LLC
- New Jersey CVS Pharmacy LLC
- New Jersey Podiatric Physicians & Surgeons Group, LLC
- New Life Medical Detoxification LLC
- New Moon Counseling LLC
- New Visions Mental Health Service LLC
- Nexus Autism Intervention Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.