Brian J Schultz, D.P.M., P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00263800 Issued in NJ

Legal business name

BRIAN J SCHULTZ, D.P.M., P.A.

Practice address

180 N County Line Rd Ste 1
Jackson, NJ 08527-4797

Phone

(732) 367-6111

Fax

(732) 886-6702

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian Jeffrey Schultz, DPMNPI 1689632952

Title

Owner

Phone

(732) 367-6611

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Brian J Schultz, D.P.M. , P.a.

  • Durable Medical Equipment & Medical Supplies
  • Jackson, NJ
  • NPI 1144326448

  7618070780

  Same PAC ID

Tax ID family

Brian J Schultz DPM PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Brian J Schultz, D.P.M. , P.a.

  • Durable Medical Equipment & Medical Supplies
  • Jackson, NJ
  • NPI 1144326448
  NPD tax ID

Locations

Practitioners 1

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

• Brian Jeffrey Schultz, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Jackson, NJ
  • NPI 1689632952
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1124193933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N COUNTY LINE RD STE H",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274797",
            "telephone_number": "732-367-6611",
            "fax_number": "732-886-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N COUNTY LINE RD STE 1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274797",
            "telephone_number": "732-367-6111",
            "fax_number": "732-886-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J SCHULTZ, D.P.M., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-367-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00263800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103829",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Brady
• Brainpowersaba
• Winifred R Braun, BCBA
• Shifra L Brenner
• Brian J Schultz, D.P.M. , P.a.
• Bridge Pathways LLC
• Bridge Pathways NJ
• Bridges NJ Inc
• Bridges NJ Inc
• Bright Day Services

• Podiatrist in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.