NPIMap

Organization Active NPI

New Jersey Podiatric Physicians & Surgeons Group LLC

  • Podiatrist
  • Kendall Park, NJ
National Provider Identifier
1104641422
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP LLC
Practice address
3228 State Route 27
Kendall Park, NJ 08824-1524
Phone
(732) 297-3002
NPI assigned
Nov 21, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Cheryl Martinetti
Title
Coo
Phone
(732) 994-5333

Corporate family (same tax ID) 36

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

View all 36

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20250425000860 NJ DME Supplier - Physician - Podiatry 4385870153 Practice locations: Kendall Park, NJ

National Provider Directory

National Provider Directory
Tax ID family
New Jersey Podiatric Physicians Surgeons Group LLC (37 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3228 State Route 27
Kendall Park, NJ 08824-1524

Mailing address

4633 Hwy 9
Howell, NJ 07731-3324
Phone (732) 994-5333

Other names 1

NPPES NPI Registry
  • Douglas N. DeLorenzo, DPM Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 21, 2024.

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1104641422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 HWY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313324",
            "telephone_number": "732-994-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 STATE ROUTE 27",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241524",
            "telephone_number": "732-297-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "MARTINETTI",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "732-994-5333"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas N. DeLorenzo, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.