Garden State Foot & Ankle Center, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00302900 Issued in NJ

Legal business name

GARDEN STATE FOOT & ANKLE CENTER, LLC

Practice address

226 Middle Rd
Suite 7
Hazlet, NJ 07730-1945

Phone

(732) 547-9124

NPI assigned

Mar 30, 2012

Last updated

Aug 28, 2012By 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

Dr. Scott R Shrem, D.P.M.NPI 1790925337

Title

Doctor/Owner

Phone

(732) 547-9124

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

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.

• Scott R Shrem, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hazlet, NJ
  • NPI 1790925337
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1578839866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DARBY RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461332",
            "telephone_number": "732-547-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MIDDLE RD",
            "address_2": "SUITE 7",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301945",
            "telephone_number": "732-547-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE FOOT & ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "SHREM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "732-547-9124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00302900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Gabriel, PSY.D.
• Danielle Yvette Gadson, B.A.
• Alphonso Michael Gaita
• Alexandra Garcia
• Michael Y Garcia, LSW
• Ruth N. Gautier, BA,LCADC
• GD NJ Elite LLC (Elite Dental Associates)
• Liann Gelber, LSW
• Deatte Gettinger
• Allyssa Simone Ghans, LSW

• Foot & Ankle Surgery Podiatrist in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.