Organization Active NPI

Julian Sansone, DPM, PC

  • Foot Surgery Podiatrist
  • Jackson, NJ
National Provider Identifier
1477691095
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00282700 Issued in NJ
Legal business name
JULIAN SANSONE, DPM, PC
Practice address
4 Peacock LN
Jackson, NJ 08527
Phone
(732) 771-6881
NPI assigned
Feb 3, 2007
Last updated
Aug 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Dr. Julian Sansone, DPMNPI 1841229119
Title
Podiatrist
Phone
(732) 771-6881

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
Foot Surgery Podiatrist 213ES0131X 25MD00282700 NJ Primary

Addresses

Primary practice location

4 Peacock LN
Jackson, NJ 08527

Mailing address

4 Peacock LN
Jackson, NJ 08527-5350
Phone (732) 771-6881

Other identifiers 2

IdentifierTypeStateIssuer
0099198MedicaidNJ
02634742MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822000114 NJ Part B Supplier - Clinic/Group Practice 0042302150 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, NJ; Livingston, NJ; Parsippany, NJ

National Provider Directory

National Provider Directory

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": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1477691095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PEACOCK LN",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275350",
            "telephone_number": "732-771-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PEACOCK LN",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "08527",
            "telephone_number": "732-771-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN SANSONE, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "SANSONE",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "732-771-6881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00282700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099198",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02634742",
            "state": "NY"
        }
    ],
    "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 Aug 7, 2018; 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.