Individual provider Active NPI

Michael G Kachmar

  • Foot & Ankle Surgery Podiatrist
  • Toms River, NJ
National Provider Identifier
1366422271
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00154800 Issued in NJ
Practice address
591 Lakehurst Rd
Toms River, NJ 08755-8045
Phone
(732) 269-1133
Fax
(732) 269-7675
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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 25MD00154800 NJ Primary

Addresses

Primary practice location

591 Lakehurst Rd
Toms River, NJ 08755-8045

Mailing address

355 Atlantic City Blvd
Suite 1
Bayville, NJ 08721-1292

Other identifiers 1

IdentifierTypeStateIssuer
4776402MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040330000241 NJ Practitioner - Podiatry 4587556857 Reassigns benefits to 1 organization
Practice locations: Barnegat, NJ; Bayville, NJ
O20100930022620 NJ DME Supplier - Physician - PodiatryDME Supplier - Orthotic Personnel 8628197340 Practice locations: Bayville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Shore Foot and Leg Center P CGroup PAC ID 3971596297, 2 clinicians

Practice addresses (Care Compare)

1 Pelican Dr
Suite 8
Bayville, NJ 08721-1600
Phone (732) 269-1133

Hospital & facility affiliations

  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of skin lesions57
Removal of nail tissue74
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00154800NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Foot and Leg Center PC Foot & Ankle Surgery CurrentSince Nov 12, 2003 Accepting new patients
Michael G Kachmar DPM PastSince Jan 1, 1990 Accepting new patients

Locations

890 W Bay Ave
Ste G
Barnegat, NJ 08005

890 W Bay Ave
Barnegat, NJ 08005
Phone (609) 698-2600

1 Pelican Dr
Ste 8
Bayville, NJ 08721
Phone (732) 269-1133

355 Route 9
Ste 1
Bayville, NJ 08721
Phone (732) 269-1133

591 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 244-3002

Organizations & group practices 2

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

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1366422271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 ATLANTIC CITY BLVD",
            "address_2": "SUITE 1",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558045",
            "telephone_number": "732-269-1133",
            "fax_number": "732-269-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHMAR",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00154800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4776402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.