Jersey Shore Podiatric Associates, PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

JERSEY SHORE PODIATRIC ASSOCIATES, PA

Practice address

2130 Highway 35 Ste 312
Sea Girt, NJ 08750-1011

Phone

(732) 974-8200

NPI assigned

Jun 4, 2025

Organization subpart

No

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

Authorized official

Name

Rosalie Kreighbaum

Title

Regional Credentialing Specialist

Phone

(314) 909-1920

Specialties & licenses 1

Addresses

Tax ID family

Jersey Shore Podiatric Associates PA3 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.

• Jersey Shore Podiatric Associates

  • Podiatrist
  • PT Pleasant, NJ
  • NPI 1013203371
  NPD tax ID
• Jersey Shore Podiatric Associates

  • Foot & Ankle Surgery Podiatrist
  • Sea Girt, NJ
  • NPI 1376575993
  NPD tax ID

Locations

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1205720398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35 STE 312",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501011",
            "telephone_number": "732-974-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE PODIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "KREIGHBAUM",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "REGIONAL CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "314-909-1920"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toby B Husserl, M.D.
• Peter James Hynes, M.D.
• Jaclyn Disabato, LPC LLC
• Shalin Jani, DMD
• Jersey Shore Podiatric Associates
• Jersey Shore Wellness Center, LLC
• Ann M Jerz, MA, CCC-SLP
• John L Little DDS, PA
• John L Little, DDS, PA
• Jeffrey Mark Kargman, MD

• All providers in Sea Girt, NJ
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.