Individual provider Active NPI

Jason D Larson, D.P.M.

  • Foot Surgery Podiatrist
  • Brick, NJ
National Provider Identifier
1215905203
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00247600 Issued in NJ
Practice address
2159 Route 88 E
Brick, NJ 08724-3232
Phone
(732) 899-0015
NPI assigned
Mar 8, 2006
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00247600 NJ
Foot Surgery Podiatrist 213ES0131X 25MD00247600 NJ Primary

Addresses

Primary practice location

2159 Route 88 E
Brick, NJ 08724-3232

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159

Other practice location 1

2399 NJ 34, Bldg A6
Manasquan, NJ 08736
Phone (732) 528-8223

Other identifiers 1

IdentifierTypeStateIssuer
9112600MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001241 NJ Practitioner - Podiatry 6800875519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Foot and AnkleGroup PAC ID 2163499724, 4 clinicians
Allaire Foot and AnkleGroup PAC ID 6305922071, 4 clinicians

Practice addresses (Care Compare)

2159 Route 88 E
Brick, NJ 08724-3232
Phone (732) 899-3366

2399 Hwy 34
BLDG A6
Manasquan, NJ 08736-1500
Phone (732) 528-8223

2399 NJ
Suite 34
Manasquan, NJ 08736-1500
Phone (732) 528-8223

54 Bey Lea Rd
Suite 1
Toms River, NJ 08753-2978
Phone (732) 505-4500

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions1-10
Removal of nail tissue895
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00247600NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allaire Foot & Ankle Foot & Ankle Surgery CurrentSince May 2, 2011 Accepting new patients
Associates in Foot and Ankle Podiatrist CurrentSince Mar 12, 2002 Accepting new patients
Ocean County Foot & Ankle Surgical Associates Podiatrist CurrentSince Aug 12, 2025 Accepting new patients
Ocean County Foot & Ankle Surgical Associates Podiatrist CurrentSince Aug 12, 2025 Accepting new patients
Lawrence J Menditto DPM PC Podiatrist PastSince Apr 1, 1992 Accepting new patients
Hal Ornstein Et Al PTR Affiliated Foot & Ankle Center LLP Podiatrist Past Accepting new patients

Locations

2211 Route 88 E
Brick, NJ 08724
Phone (732) 785-8845

2399 Highway 34
Bldg A6
Manasquan, NJ 08736
Phone (732) 528-0815

54 Bey Lea Rd
Ste 1
Toms River, NJ 08753
Phone (732) 505-4500

Interoperability endpoints

  • Direct secure messaging: jasonlarson@afas.allscriptsdirect.net
  • Direct secure messaging: jlarson@usfas.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1215905203",
    "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": "2159 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243232",
            "telephone_number": "732-899-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2399 NJ 34, Bldg A6",
            "address_purpose": "LOCATION",
            "city": "Manasquan",
            "state": "NJ",
            "postal_code": "08736",
            "country_code": "US",
            "telephone_number": "732-528-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00247600",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00247600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9112600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.