NJ Podiatry Group LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

NJ PODIATRY GROUP LLC

Practice address

50 Franklin LN
Manalapan, NJ 07726-2773

Phone

(917) 692-6408

NPI assigned

Feb 15, 2024

Last updated

Apr 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark SharobeemNPI 1679915508

Title

Owner

Phone

(917) 692-6408

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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.

• Mark Sharobeem

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1679915508

  NJ

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1578328902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PALOMINO DR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FRANKLIN LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262773",
            "telephone_number": "917-692-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ PODIATRY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "SHAROBEEM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-692-6408"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Diana NG, LAX
• Michael John Niesi, MA,CCC-SLP
• Nivepa Endodontics (Roots Endodontics)
• NJ Pelvic Medicine LLC
• NJ Physical Therapy Arts PC
• Hannah Frances Noel
• Cristiana Grace Lamberti Noonan
• North Jersey Therapeutic Services LLC (North Jersey Therapeutic Services)
• Northern Monmouth Regional Surgery Center LLC (Center for Bone and Joint Surgery)
• Nutritional Care Inc.

• Podiatrist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.