New Jersey Podiatric Physicians & Surgeons Group, LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Clifton, NJ
NPI 1578865150 · NPPES record last updated Oct 29, 2018
Key facts
- NPI
- 1578865150
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- MD1914 (NJ)
- Legal business name
- NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC
- Practice address
- 1100 Clifton Ave
Suite C
Clifton, NJ 07013-3631 - Phone
- (973) 777-4650
- Fax
- (973) 777-8298
- NPI assigned
- Dec 2, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Hal Ornstein, DPM
- Title
- President
- Phone
- (732) 994-5333
Corporate family (same tax ID) 36
Practitioners 38
-
Jessica Ann Addeo, DPM
-
Michael Banh, DPM
-
Andrew Scott Bear, D.P.M.
-
Patricia Ann Berran, DPM
-
Samantha Boyd, D.P.M.
-
Patrick J Caputo, DPM
-
Sameep Chandrani, DPM
-
Douglas N Delorenzo, D.P.M.
-
Kirsten Discepola, DPM
-
Esther Exantus, DPM
-
Scott Mario Gioioso, DPM
-
Jade Gittens-Hebbon, DPM
-
William J Green, DPM
-
Jason M. Grossman, D.P.M.
-
Varun Ben Gujral, D.P.M.
-
Stuart Jacob, DPM
-
Steven R Lemberger, DPM
-
Brandon A Macy, DPM
-
Debra Beth Manheim, DPM
-
Enid Claire Maroney, DPM
-
Donna M McAnespey, DPM
-
Christopher J Mullin, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140205000062 | NJ | DME Supplier - Physician - Podiatry | 4385870153 | Practice locations: Clifton, NJ |
National Provider Directory
- Tax ID family
- New Jersey Podiatric Physicians Surgeons Group LLC
Locations
1100 Clifton Ave
Ste C
Clifton, NJ 07013
Phone (973) 777-4650
1672 State Route 27
#1
Edison, NJ 08817
1672 State Route 27
Fl 1
Edison, NJ 08817
Phone (732) 253-7957
4645 US Highway 9
Howell, NJ 07731
4633 US Highway 9
Ste 3B
Howell, NJ 07731
241 Forsgate Dr
Ste 206
Jamesburg, NJ 08831
Phone (732) 521-2155
333 Forsgate Dr
Ste 202
Jamesburg, NJ 08831
Phone (732) 521-2155
3228 State Route 27
Kendall Park, NJ 08824
Phone (732) 297-0032
252 Bridge St
#2
Metuchen, NJ 08840
231 Bridge St
Metuchen, NJ 08840
Phone (732) 744-0003
85 S Jefferson St
Ste 202
Orange, NJ 07050
37 Clyde Rd
Ste 103
Somerset, NJ 08873
Phone (732) 412-1282
2170 Lakewood Rd
Ste 208
Toms River, NJ 08755
Phone (732) 813-8355
1500 Pleasant Valley Way
Ste 204
West Orange, NJ 07052
Phone (923) 731-1266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | MD1914 | NJ | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X | MD1914 | NJ |
Addresses
Primary practice location
1100 Clifton Ave
Suite C
Clifton, NJ 07013-3631
Mailing address
4633 Hwy 9
Howell, NJ 07731-3324
Phone (973) 994-5333
Other providers in Clifton, NJ
- New Jersey Eye Institute Inc
- New Jersey Eyecare Associates OD PA
- New Jersey Foot Surgeons PC
- New Jersey Heart and Vein LLC
- New Jersey Physicians LLC
- New Life Rheumatology Center LLC
- Duong Thuy Nguyen
- Jolie Nickel
- Vivek Nijhawan
- Carolin Nina
All providers in Clifton, NJ · Foot & Ankle Surgery Podiatrist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.