NPIMap

Individual provider Active NPI

Susan Lynn Belanger, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oakhurst, NJ
National Provider Identifier
1104894195
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
NJ25MD00253200 Issued in NJ
Practice address
1806 State Route 35 Ste 103
Oakhurst, NJ 07755-2766
Phone
(732) 643-5500
Fax
(732) 531-1035
NPI assigned
Mar 8, 2006
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00253200 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X NJ25MD00253200 NJ Primary

Addresses

Primary practice location

1806 State Route 35 Ste 103
Oakhurst, NJ 07755-2766

Mailing address

1806 State Route 35 Ste 103
Oakhurst, NJ 07755-2766
Phone (732) 643-5500

Other identifiers 1

IdentifierTypeStateIssuer
9112707MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000229 NJ Practitioner - Podiatry 8729079454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1806 State Route 35
Suite 103
Oakhurst, NJ 07755-2766
Phone (732) 643-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue201
Removal of skin lesions77
Removal of nail tissue436
Removal or shaving of skin growth33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00253200NJMDFoot & Ankle Surgery Podiatrist
NJ25MD00253200NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Belanger Podiatry Associates, LLC Foot & Ankle Surgery CurrentSince Jun 24, 2011 Accepting new patients
Nymhc FPP Nephrology Past Accepting new patients
Hal Ornstein Et Al PTR Affiliated Foot & Ankle Center LLP Past Accepting new patients

Locations

1806 State Route 35
Ste 103
Oakhurst, NJ 07755
Phone (732) 643-5500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1104894195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 STATE ROUTE 35 STE 103",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552766",
            "telephone_number": "732-643-5500",
            "fax_number": "732-869-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 STATE ROUTE 35 STE 103",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552766",
            "telephone_number": "732-643-5500",
            "fax_number": "732-531-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00253200",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "NJ25MD00253200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9112707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

Verify at the official NPI Registry.