Active NPI
Michael G Kachmar
- Foot & Ankle Surgery Podiatrist
- Toms River, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00154800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4776402 | Medicaid | NJ |
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
Enrollment records 2
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
Practice addresses (Care Compare)
1 Pelican Dr
Suite 8
Bayville, NJ 08721-1600
Phone (732) 269-1133
Hospital & facility affiliations
- Southern Ocean Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 57 |
| Removal of skin lesions | 57 |
| Removal of nail tissue | 74 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00154800 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Shore Foot and Leg Center PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Michael G Kachmar DPM | Past | 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.
-
- Foot & Ankle Surgery Podiatrist
- Bayville, NJ
- NPI 1629022306
-
- Durable Medical Equipment & Medical Supplies
- Bayville, NJ
- NPI 1003082835
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.