Active NPI
Jersey Shore Foot and Leg Cent
- Foot & Ankle Surgery Podiatrist
- Watchung, NJ
National Provider Identifier
1265688774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- MD1954
- Legal business name
- JERSEY SHORE FOOT AND LEG CENT
- Practice address
- 10 Shawnee Dr
Watchung, NJ 07069-5803 - Phone
- (908) 769-5337
- NPI assigned
- Aug 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathy Muhlhausen
- Title
- Office Manager
- Phone
- (908) 769-5337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | MD1954 | NJ | Primary |
Addresses
Primary practice location
10 Shawnee Dr
Watchung, NJ 07069-5803
Mailing address
10 Shawnee Dr
Watchung, NJ 07069-5803
Phone (908) 769-5337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679589261 | Other | NJ | HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY |
National Provider Directory
National Provider Directory- Tax ID family
- Ronald Sheppard
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Watchung, NJ
- NPI 1073790465
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Watchung, NJ
- NPI 1679589261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218758400000",
"number": "1265688774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SHAWNEE DR",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070695803",
"telephone_number": "908-769-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SHAWNEE DR",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070695803",
"telephone_number": "908-769-5337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY SHORE FOOT AND LEG CENT",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-15",
"last_updated": "2008-08-15",
"status": "A",
"authorized_official_last_name": "MUHLHAUSEN",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "908-769-5337",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "MD1954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY",
"identifier": "1679589261",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watchung, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.