Organization Active NPI

Star Podiatry PC

  • Podiatrist
  • Stratford, NJ
National Provider Identifier
1508107301
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00312200 Issued in NJ
Legal business name
STAR PODIATRY PC
Practice address
119 E Laurel Rd
Stratford, NJ 08084-1324
Phone
(856) 521-4132
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Michael Moharan, DMP
Title
Podiatrist
Phone
(856) 521-4132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00312200 NJ Primary

Addresses

Primary practice location

119 E Laurel Rd
Stratford, NJ 08084-1324

Mailing address

155 Cross Slope CT
Manalapan, NJ 07726-5412

National Provider Directory

National Provider Directory

Locations

610 Newark Ave
Jersey City, NJ 07306
Phone (201) 217-0600

2130 Millburn Ave
Ste C5
Maplewood, NJ 07040
Phone (973) 763-2555

119 E Laurel Rd
Stratford, NJ 08084
Phone (856) 346-3469

Practitioners & affiliated clinicians

Practitioners 2

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": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1508107301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CROSS SLOPE CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077265412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841324",
            "telephone_number": "856-521-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "MOHARAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "856-521-4132",
        "authorized_official_credential": "DMP"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00312200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.