NPIMap

Organization Active NPI

Jersey Shore Podiatric Associates

  • Foot & Ankle Surgery Podiatrist
  • Sea Girt, NJ
National Provider Identifier
1376575993
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD2271 Issued in NJ
Legal business name
JERSEY SHORE PODIATRIC ASSOCIATES
Practice address
2130 Highway 35
BLDG C Ste 312
Sea Girt, NJ 08750-1010
Phone
(732) 974-8200
Fax
(732) 974-0190
NPI assigned
Jul 6, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Dr. Gene S Mirkin, DPM
Title
Owner/President
Phone
(410) 266-7575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X MD2271 NJ Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2130 Highway 35
BLDG C Ste 312
Sea Girt, NJ 08750-1010

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159
Phone (732) 974-8200

Other practice location 1

2911 Route 88 Ste 3
Point Pleasant Boro, NJ 08742-2871
Phone (732) 892-2100

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080110000194 NJ Part B Supplier - Clinic/Group Practice 5597845917 Receives reassigned benefits from 4 practitioners
Practice locations: Point Pleasant, NJ; Sea Girt, NJ
O20100930100370 NJ DME Supplier - Physician - Podiatry 5597845917 Practice locations: Sea Girt, NJ

National Provider Directory

National Provider Directory
Tax ID family
Jersey Shore Podiatric Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1376575993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825159",
            "telephone_number": "732-974-8200",
            "fax_number": "732-974-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "BLDG C STE 312",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-974-8200",
            "fax_number": "732-974-0190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Route 88 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Point Pleasant Boro",
            "state": "NJ",
            "postal_code": "087422871",
            "country_code": "US",
            "telephone_number": "732-892-2100",
            "fax_number": "732-892-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JERSEY SHORE PODIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MIRKIN",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-266-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD2271",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.