Organization Active NPI

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

  • Durable Medical Equipment & Medical Supplies
  • Jackson, NJ
National Provider Identifier
1144326448
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
25MD00263800 Issued in NJ
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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.NPI 1689632952
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 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.

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.

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.

Verify at the official NPI Registry.