NPIMap

Organization Active NPI

Skybridge Healthcare Limited Liability Company

  • Primary Podiatric Medicine Podiatrist
  • Bridgewater, NJ
National Provider Identifier
1124422431
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
25MD002274800 Issued in NJ
Legal business name
SKYBRIDGE HEALTHCARE LIMITED LIABILITY COMPANY
Practice address
720 Rte 202/206
Bridgewater, NJ 08807-1746
Phone
(908) 704-8778
Fax
(908) 704-8172
NPI assigned
Oct 15, 2014
Last updated
Jun 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Mrs. Deborah Kugler
Title
Office Manager
Phone
(908) 704-8778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD002274800 NJ Primary

Addresses

Primary practice location

720 Rte 202/206
Bridgewater, NJ 08807-1746

Mailing address

720 Rte 202/206
Bridgewater, NJ 08807-1746
Phone (908) 704-8778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150616000947 NJ Part B Supplier - Clinic/Group Practice 6901117084 Receives reassigned benefits from 10 practitioners
Practice locations: Bridgewater, NJ; Denville, NJ; Little Falls, NJ; Plainfield, NJ; Roselle Park, NJ; Vernon, NJ
O20230719002802 NY Part B Supplier - Clinic/Group Practice 6901117084 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; New York, NY
O20251119003339 NJ DME Supplier - Physician - Podiatry 6901117084 Practice locations: Bridgewater, NJ

National Provider Directory

National Provider Directory

Locations

16 Pocono Rd
Ste 207
Denville, NJ 07834
Phone (973) 586-9323

491 Amwell Rd
Ste 101
Hillsborough, NJ 08844
Phone (908) 359-0137

96 E Main St
Ste 2
Little Falls, NJ 07424

125 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 300-2450

1024 Park Ave
Ste 3
Plainfield, NJ 07060
Phone (908) 755-5545

4491 Route 27
Princeton, NJ 08540
Phone (609) 924-8333

318 Chestnut St
Roselle Park, NJ 07204
Phone (908) 241-4200

155 E 76th St
Ofc 2
New York, NY 10021
Phone (973) 827-0210

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1124422431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 RTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071746",
            "telephone_number": "908-704-8778",
            "fax_number": "908-704-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 RTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071746",
            "telephone_number": "908-704-8778",
            "fax_number": "908-704-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYBRIDGE HEALTHCARE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "KUGLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-704-8778",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD002274800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.