Organization Active NPI

Somerset Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Bridgewater, NJ
National Provider Identifier
1326496217
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SOMERSET FOOT AND ANKLE LLC
Practice address
9 Monroe St
Bridgewater, NJ 08807-3043
Phone
(908) 231-1114
Fax
(908) 252-1930
NPI assigned
Jun 1, 2016
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Robert Patrick Thiele, DPMNPI 1174511075
Title
Sole Owner
Phone
(908) 231-1114

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00160100 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

9 Monroe St
Bridgewater, NJ 08807-3043

Mailing address

9 Monroe St
Bridgewater, NJ 08807-3043
Phone (908) 231-1114

Other names 1

  • Newman Podiatry, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160908000723 NJ Part B Supplier - Clinic/Group Practice 5193011708 Receives reassigned benefits from 3 practitioners
Practice locations: Bridgewater, NJ

National Provider Directory

National Provider Directory

Locations

9 Monroe St
Bridgewater, NJ 08807
Phone (908) 231-1114

Practitioners & affiliated clinicians

Practitioners 3

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": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1326496217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073043",
            "telephone_number": "908-231-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073043",
            "telephone_number": "908-231-1114",
            "fax_number": "908-252-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "THIELE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "908-231-1114",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00160100",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newman Podiatry, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.