Jackson Center for Foot and Ankle Medicine,LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MD2403 Issued in NJ

Legal business name

JACKSON CENTER FOR FOOT AND ANKLE MEDICINE,LLC

Practice address

180 N County Line Rd
Jackson, NJ 08527-4421

Phone

(732) 833-2800

NPI assigned

Mar 20, 2008

Last updated

Apr 11, 2008By 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. Keith Rosenthal, DPMNPI 1952370132

Title

Owner,Podiatrist

Phone

(732) 833-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Jackson Center for Foot and3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jackson Center for Foot and Ankle Medicine

  • Non-Pharmacy Dispensing Site
  • Jackson, NJ
  • NPI 1477096410
  NPD tax ID
• The Jackson Center for Foot and Ankle Medicine

  • Foot & Ankle Surgery Podiatrist
  • Jackson, NJ
  • NPI 1154736585
  NPD tax ID

Locations

Practitioners 4

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.

• Keith Brian Rosenthal, DPM

  • Podiatrist
  • Jackson, NJ
  • NPI 1952370132
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Scott Blutfield, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hamilton, NJ
  • NPI 1578915443
  Medicare reassignment Care Compare group NPD
• Nishu Desai, DPM

  • Foot & Ankle Surgery Podiatrist
  • Newark, NJ
  • NPI 1982273983
  Medicare reassignment Care Compare group NPD
• Julian Sansone, DPM

  • Podiatrist
  • Howell, NJ
  • NPI 1841229119
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1609047372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274421",
            "telephone_number": "732-833-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274421",
            "telephone_number": "732-833-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CENTER FOR FOOT AND ANKLE MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER,PODIATRIST",
        "authorized_official_telephone_number": "732-833-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innova Dental Solutions
• Interact Therapy Services, LLC
• Intrinsic Chiropractic Center
• Ivyrehab Network Inc
• Jackson Center for Foot and Ankle Medicine
• Jackson Family Foot & Ankle Care, LLC
• Jackson Joint Ventures Limited Liability
• Jackson Orthodontics LLC
• Jackson Pediatric Dentistry PC
• Jackson Pharmacy Inc

• Foot & Ankle Surgery Podiatrist in Jackson, NJ
• Providers in Jackson, 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 Apr 11, 2008; 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.