The Jackson Center for Foot and Ankle Medicine

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

25MD00240300 Issued in NJ

Legal business name

THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE

Practice address

35 Beaverson Blvd
1
Brick, NJ 08723-7812

Phone

(732) 477-0441

NPI assigned

Apr 13, 2017

Last updated

Apr 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Kaszuba

Title

Office Manager

Phone

(732) 833-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Matthew Scott Blutfield, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hamilton, NJ
  • NPI 1578915443
  NPD
• Nishu Desai, DPM

  • Foot & Ankle Surgery Podiatrist
  • Newark, NJ
  • NPI 1982273983
  NPD
• Keith Brian Rosenthal, DPM

  • Podiatrist
  • Jackson, NJ
  • NPI 1952370132
  NPD
• Julian Sansone, DPM

  • Podiatrist
  • Howell, NJ
  • NPI 1841229119
  NPD

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1366976698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "BLDG 1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-477-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "KASZUBA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-833-2800"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "25MD00240300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7323107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Brick, NJ
• Providers in Brick, NJ by specialty
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.