Organization Active NPI

Manalapan Foot and Ankle LLC

  • Podiatrist
  • Manalapan, NJ
National Provider Identifier
1437445251
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MANALAPAN FOOT AND ANKLE LLC
Practice address
145 Rte 33
Manalapan, NJ 07726-8355
Phone
(732) 845-0100
Fax
(732) 845-1008
NPI assigned
Jun 20, 2011
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Dr. Charles G Marchese, DPMNPI 1417061854
Title
Owner
Phone
(732) 845-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

145 Rte 33
Manalapan, NJ 07726-8355

Mailing address

145 Rte 33
Manalapan, NJ 07726-8355
Phone (732) 845-0100

Other identifiers 1

IdentifierTypeStateIssuer
7223200MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL aveufoot@aol.com
CONNECT URL aveufoot@aol.com

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111027000569 NJ Part B Supplier - Clinic/Group Practice 0446423909 Receives reassigned benefits from 1 practitioner
Practice locations: Manalapan, NJ
O20150417000555 NJ DME Supplier - Physician - Podiatry 0446423909 Practice locations: Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

145 State Route 33
Manalapan, NJ 07726
Phone (732) 294-9393

Practitioners & affiliated clinicians

Practitioners 3

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": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1437445251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RTE 33",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268355",
            "telephone_number": "732-845-0100",
            "fax_number": "732-845-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 RTE 33",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268355",
            "telephone_number": "732-845-0100",
            "fax_number": "732-845-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANALAPAN FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "MARCHESE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-845-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7223200",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aveufoot@aol.com",
            "affiliation": "N",
            "address_1": "145 Route 33",
            "city": "Manalapan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077268355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aveufoot@aol.com",
            "affiliation": "N",
            "address_1": "145 Route 33",
            "city": "Manalapan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077268355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.