New Jersey Podiatric Physicians & Surgeons Group LLC
Organization Active NPI Podiatrist · Freehold, NJ
NPI 1386389609 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1386389609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP LLC
- Practice address
- 505 Stillwells Corner Rd
Freehold, NJ 07728-2965 - Phone
- (732) 863-7010
- NPI assigned
- May 2, 2022
- Organization subpart
- No
Authorized official
- Name
- Cheryl Martinetti
- Title
- Chief Administrative Officer
- Phone
- (732) 994-5333
Corporate family (same tax ID) 36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220829002978 | NJ | DME Supplier - Physician - Podiatry | 4385870153 | Practice locations: Freehold, NJ |
National Provider Directory
- Tax ID family
- New Jersey Podiatric Physicians Surgeons Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
505 Stillwells Corner Rd
Freehold, NJ 07728-2965
Mailing address
4633 Hwy 9
Howell, NJ 07731-3324
Other names
- Lemberger Podiatry
Other providers in Freehold, NJ
- New Jersey CVS Pharmacy LLC
- New Jersey CVS Pharmacy LLC
- New Jersey Disability Safe at Home
- New Jersey Infusion PA
- New Jersey Orthopedic Associates
- New Jersey Podiatric Physicians & Surgeons Group LLC
- New Jersey Podiatric Physicians and Surgeons Group, LLC
- New Leaf Psychotherapy LLC
- New Reflections Plastic Surgery LLC
- Nexus Core Physicians LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.