Active NPI
Brian J Schultz, D.P.M. , P.a.
- Durable Medical Equipment & Medical Supplies
- Jackson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 25MD00263800
- Legal business name
- BRIAN J SCHULTZ, D.P.M. , P.A.
- Practice address
- 2110 W County Line Rd
Building 1
Jackson, NJ 08527-2049 - Phone
- (732) 367-6611
- Fax
- (732) 886-6702
- NPI assigned
- Sep 15, 2006
- Last updated
- Dec 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Jeffrey Schultz, D.P.M.
- Title
- Podiatrist
- Phone
- (732) 367-6611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 25MD00263800 | NJ | Primary |
Addresses
Primary practice location
2110 W County Line Rd
Building 1
Jackson, NJ 08527-2049
Mailing address
19 Cottonwood Drive
Jackson, NJ 08527
Phone (732) 367-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033585 | NJ | DME Supplier - Physician - Podiatry | 7618070780 | Practice locations: Jackson, NJ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Brian J Schultz DPM PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Jackson, NJ
- NPI 1124193933
Locations
180 N County Line Rd
Ste H
Jackson, NJ 08527
Phone (732) 367-6611
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Primary Podiatric Medicine Podiatrist
- Jackson, NJ
- NPI 1689632952
-
- Podiatrist
- Jackson, NJ
- NPI 1952370132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198800000000",
"number": "1144326448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 COTTONWOOD DRIVE",
"city": "JACKSON",
"state": "NJ",
"postal_code": "08527",
"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": "2110 W COUNTY LINE RD",
"address_2": "BUILDING 1",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085272049",
"telephone_number": "732-367-6611",
"fax_number": "732-886-6702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN J SCHULTZ, D.P.M. , P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2007-12-28",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "JEFFREY",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "732-367-6611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "25MD00263800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.