NPIMap

Organization Active NPI

The Jackson Center for Foot and Ankle Medicine

  • Foot & Ankle Surgery Podiatrist
  • Jackson, NJ
National Provider Identifier
1154736585
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE
Practice address
728 Bennetts Mills Rd
Suite 2
Jackson, NJ 08527
Phone
(732) 833-2800
Fax
(732) 833-4808
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Mr. Keith Brian Rosenthal, D.P.M.NPI 1952370132
Title
Ower/Physician
Phone
(732) 833-2800

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

728 Bennetts Mills Rd
Suite 2
Jackson, NJ 08527

Mailing address

728 Bennetts Mills Rd
Suite 2
Jackson, NJ 08527
Phone (732) 833-2800

Other identifiers 1

IdentifierTypeStateIssuer
1D7323107MedicaidNJ

Other names 1

  • The Center for Foot and Ankle Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Jackson Center for Foot and Ankle Medicinellc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1154736585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 BENNETTS MILLS RD",
            "address_2": "SUITE 2",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "08527",
            "telephone_number": "732-833-2800",
            "fax_number": "732-833-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 BENNETTS MILLS RD",
            "address_2": "SUITE 2",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "08527",
            "telephone_number": "732-833-2800",
            "fax_number": "732-833-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWER/PHYSICIAN",
        "authorized_official_telephone_number": "732-833-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D7323107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Foot and Ankle Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.