Organization Active NPI

East Brunswick Foot Care, LLC

  • Foot & Ankle Surgery Podiatrist
  • Old Bridge, NJ
National Provider Identifier
1497023287
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00283600 Issued in NJ
Legal business name
EAST BRUNSWICK FOOT CARE, LLC
Practice address
1405 Route 18
Suite 105
Old Bridge, NJ 08857-3719
Phone
(732) 679-8700
Fax
(732) 640-5733
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dr. Sharon S Joag, DPM
Title
Owner
Phone
(732) 679-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 25MD00283600 NJ Primary

Addresses

Primary practice location

1405 Route 18
Suite 105
Old Bridge, NJ 08857-3719

Mailing address

1405 Route 18
Suite 105
Old Bridge, NJ 08857-3719
Phone (732) 679-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121010000326 NJ Part B Supplier - Clinic/Group Practice 5799934501 Receives reassigned benefits from 1 practitioner
Practice locations: Old Bridge, NJ

National Provider Directory

National Provider Directory

Locations

1405 State Route 18
Ste 105
Old Bridge, NJ 08857
Phone (732) 257-8700

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1497023287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 ROUTE 18",
            "address_2": "SUITE 105",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573719",
            "telephone_number": "732-679-8700",
            "fax_number": "732-640-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 ROUTE 18",
            "address_2": "SUITE 105",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573719",
            "telephone_number": "732-679-8700",
            "fax_number": "732-640-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BRUNSWICK FOOT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "JOAG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-679-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00283600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.