Individual provider Active NPI

Brandon Michael Zuklie, DPM

  • Foot & Ankle Surgery Podiatrist
  • Piscataway, NJ
National Provider Identifier
1336231208
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00265700 Issued in NJ
Practice address
2 Mitchell Ave
Piscataway, NJ 08854-5523
Phone
(732) 699-1900
Fax
(732) 699-1901
NPI assigned
Sep 29, 2006
Last updated
Jun 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00265700 NJ Primary

Addresses

Primary practice location

2 Mitchell Ave
Piscataway, NJ 08854-5523

Mailing address

2 Mitchell Ave
Piscataway, NJ 08854-5523
Phone (732) 699-1900

Other identifiers 1

IdentifierTypeStateIssuer
8583706MedicaidNJ

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
I20040511000509 NJ Practitioner - Podiatry 6305835729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1161 US Hwy 202 N
Branchburg, NJ 08876-3909
Phone (908) 526-1961

2 Mitchell Ave
Piscataway, NJ 08854-5523
Phone (732) 699-1900

333 Forsgate Dr
Suite 205
Jamesburg, NJ 08831-1567
Phone (732) 699-1900

Hospital & facility affiliations

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 tissue504
Removal of skin lesions23
Removal of nail tissue1680
Removal or shaving of skin growth241
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Brandon M. Zuklie, LLC Foot & Ankle Surgery CurrentSince Aug 28, 2003 Accepting new patients
Dr. Brandon M. Zuklie, LLC Foot & Ankle Surgery CurrentSince Aug 28, 2003 Accepting new patients
Holy Name Primary Care and Specialty Associates, PC PastSince Nov 1, 2022 Accepting new patients
Specialty Surgical Center of North Brunswick, LLC PastSince Jan 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bzuklie53797@epicdirect.rwjbh.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1336231208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MITCHELL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545523",
            "telephone_number": "732-699-1900",
            "fax_number": "732-699-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MITCHELL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545523",
            "telephone_number": "732-699-1900",
            "fax_number": "732-699-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKLIE",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00265700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8583706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.