NPIMap

Organization Active NPI

J M Podiatry Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Somerset, NJ
National Provider Identifier
1164259479
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
J M PODIATRY ASSOCIATES PC
Practice address
25 Clyde Rd Ste 101
Somerset, NJ 08873-5038
Phone
(732) 873-1111
Fax
(732) 873-1113
NPI assigned
Sep 19, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Dipan PatelNPI 1568721637
Title
Owner
Phone
(609) 397-0631

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 Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

25 Clyde Rd Ste 101
Somerset, NJ 08873-5038

Mailing address

1076 Parkway Ave
Ewing, NJ 08628-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260407004109 NJ DME Supplier - Physician - Podiatry 3870805898 Practice locations: Somerset, NJ

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
JM Podiatry Associates PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1076 Parkway Ave
Ewing, NJ 08628
Phone (609) 883-1605

Practitioners & affiliated clinicians

Practitioners 1

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": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1164259479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLYDE RD STE 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735038",
            "telephone_number": "732-873-1111",
            "fax_number": "732-873-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J M PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIPAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-397-0631"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.