Active NPI
Jersey Shore Foot and Leg Center PC
- Foot & Ankle Surgery Podiatrist
- Bayville, NJ
National Provider Identifier
1629022306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00154800
- Legal business name
- JERSEY SHORE FOOT AND LEG CENTER PC
- Practice address
- 355 Route 9
Suite 1
Bayville, NJ 08721-1292 - Phone
- (732) 269-1133
- Fax
- (732) 269-7675
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael George Kachmar, DPM
- Title
- DPM
- Phone
- (732) 269-1133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00154800 | NJ | Primary |
Addresses
Primary practice location
355 Route 9
Suite 1
Bayville, NJ 08721-1292
Mailing address
355 Route 9
Suite 1
Bayville, NJ 08721-1292
Phone (732) 269-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
355 Route 9
Ste 1
Bayville, NJ 08721
Phone (732) 269-1133
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Toms River, NJ
- NPI 1366422271
-
- Foot Surgery Podiatrist
- New Egypt, NJ
- NPI 1477520567
-
- Podiatrist
- Tinton Falls, NJ
- NPI 1275721946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348704000000",
"number": "1629022306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 ROUTE 9",
"address_2": "SUITE 1",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087211292",
"telephone_number": "732-269-1133",
"fax_number": "732-269-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 ROUTE 9",
"address_2": "SUITE 1",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087211292",
"telephone_number": "732-269-1133",
"fax_number": "732-269-7675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY SHORE FOOT AND LEG CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2012-09-27",
"status": "A",
"authorized_official_last_name": "KACHMAR",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "732-269-1133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00154800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.