Organization Active NPI

Dr. Steven Marder, LLC

Doing business as Dr Marder Foot Care

  • Foot Surgery Podiatrist
  • West Long Branch, NJ
National Provider Identifier
1255501938
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00136800 Issued in NJ
Legal business name
DR. STEVEN MARDER, LLC
Doing business as
Dr Marder Foot Care
Practice address
1049 Broadway
Suite 1
West Long Branch, NJ 07764-1334
Phone
(732) 870-9700
Fax
(732) 571-7873
NPI assigned
Mar 10, 2008
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Steven Marder, DPMNPI 1477583987
Title
Owner
Phone
(732) 870-9700

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 Surgery Podiatrist 213ES0131X 25MD00136800 NJ Primary

Addresses

Primary practice location

1049 Broadway
Suite 1
West Long Branch, NJ 07764-1334

Mailing address

1049 Broadway
Suite 1
West Long Branch, NJ 07764-1334
Phone (732) 870-9700

Other names 1

  • Dr Marder Foot Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080703000202 NJ Part B Supplier - Clinic/Group Practice 8022180223 Receives reassigned benefits from 1 practitioner
Practice locations: Red Bank, NJ; Shrewsbury, NJ; West Long Branch, NJ
O20100930066896 NJ DME Supplier - Physician - Podiatry 8022180223 Practice locations: West Long Branch, NJ

National Provider Directory

National Provider Directory

Locations

655 Shrewsbury Ave
Ste 2
Shrewsbury, NJ 07702
Phone (732) 450-6000

1049 Broadway
Ste 1
West Long Branch, NJ 07764
Phone (732) 870-9700

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1255501938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY",
            "address_2": "SUITE 1",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641334",
            "telephone_number": "732-870-9700",
            "fax_number": "732-571-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY",
            "address_2": "SUITE 1",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641334",
            "telephone_number": "732-870-9700",
            "fax_number": "732-571-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEVEN MARDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "MARDER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-870-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00136800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Marder Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.