Organization Active NPI

Garden State Foot & Ankle Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Toms River, NJ
National Provider Identifier
1386855575
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GARDEN STATE FOOT & ANKLE GROUP, LLC
Practice address
20 Hospital Dr
Suite 9
Toms River, NJ 08755-6434
Phone
(732) 557-9900
Fax
(732) 557-9909
NPI assigned
May 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Dr. Ankur Dharia, D.P.M.
Title
Founding Partner
Phone
(732) 557-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

20 Hospital Dr
Suite 9
Toms River, NJ 08755-6434

Mailing address

20 Hospital Dr
Suite 9
Toms River, NJ 08755-6434
Phone (732) 557-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070713000551 NJ Part B Supplier - Clinic/Group Practice 9537269998 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

637 River Ave
#B
Lakewood, NJ 08701
Phone (732) 987-9950

664 Commons Way
Bldg 1
Toms River, NJ 08755
Phone (732) 557-9900

664 Commons Way
Toms River, NJ 08755

20 Hospital Dr
#9
Toms River, NJ 08755
Phone (732) 557-9900

50 Bey Lea Rd
BLDG B Ste 202
Toms River, NJ 08753
Phone (732) 987-9950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1386855575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR",
            "address_2": "SUITE 9",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "732-557-9900",
            "fax_number": "732-557-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR",
            "address_2": "SUITE 9",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "732-557-9900",
            "fax_number": "732-557-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE FOOT & ANKLE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-27",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "DHARIA",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "FOUNDING PARTNER",
        "authorized_official_telephone_number": "732-557-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 11, 2013; 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.