NPIMap

Organization Active NPI

Jackson Center for Foot and Ankle Medicine

  • Non-Pharmacy Dispensing Site
  • Jackson, NJ
National Provider Identifier
1477096410
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
25MD00240300 Issued in NJ
Legal business name
JACKSON CENTER FOR FOOT AND ANKLE MEDICINE
Practice address
728 Bennetts Mills Rd
Jackson, NJ 08527-3850
Phone
(732) 833-2800
NPI assigned
Nov 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Keith RosenthalNPI 1952370132
Title
Owner
Phone
(732) 833-2800

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
Non-Pharmacy Dispensing Site 332900000X 25MD00240300 NJ Primary

Addresses

Primary practice location

728 Bennetts Mills Rd
Jackson, NJ 08527-3850

Mailing address

728 Bennetts Mills Rd
Jackson, NJ 08527-3850
Phone (732) 833-2800

National Provider Directory

National Provider Directory
Tax ID family
Jackson Center for Foot and Ankle Medicinellc3 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 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": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1477096410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273850",
            "telephone_number": "732-833-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273850",
            "telephone_number": "732-833-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CENTER FOR FOOT AND ANKLE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-833-2800"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MD00240300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.