Organization Active NPI

Jordan Steinberg D.P.M. LLC

  • Podiatrist
  • Florham Park, NJ
National Provider Identifier
1083085195
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JORDAN STEINBERG D.P.M. LLC
Practice address
83 Hanover Rd
Suite 160
Florham Park, NJ 07932-1508
Phone
(973) 922-0464
NPI assigned
Oct 15, 2015
Organization subpart
Yes
Parent organization
JORDAN STEINBERG, DPM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Taramichelle Craft
Title
Credentialing Clerk
Phone
(228) 366-4335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00322300 NJ

Addresses

Primary practice location

83 Hanover Rd
Suite 160
Florham Park, NJ 07932-1508

Mailing address

227 Millburn Ave
Millburn, NJ 07041
Phone (228) 366-4335

Other practice location 1

227 Millburn Ave
Millburn, NJ 07041-1719
Phone (973) 762-9262

Other names 1

  • Florham Park Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151216000168 NJ Part B Supplier - Clinic/Group Practice 1759682701 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Florham Park, NJ; Millburn, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Jordan Steinberg DPM LLC

Locations

83 Hanover Rd
Ste 160
Florham Park, NJ 07932
Phone (973) 593-0090

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1083085195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "228-366-4335",
            "fax_number": "866-716-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD",
            "address_2": "SUITE 160",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321508",
            "telephone_number": "973-922-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Millburn Ave",
            "address_purpose": "LOCATION",
            "city": "Millburn",
            "state": "NJ",
            "postal_code": "070411719",
            "country_code": "US",
            "telephone_number": "973-762-9262",
            "fax_number": "973-762-9262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JORDAN STEINBERG D.P.M. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JORDAN STEINBERG, DPM, LLC",
        "enumeration_date": "2015-10-15",
        "last_updated": "2022-10-28",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "TARAMICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING CLERK",
        "authorized_official_telephone_number": "228-366-4335"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00322300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florham Park Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.