Organization Active NPI

Mercer-Ocean Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Hamilton, NJ
National Provider Identifier
1659823508
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00240900 Issued in NJ
Legal business name
MERCER-OCEAN PODIATRY
Practice address
2103 Whitehorse Mercerville Rd
Suite 4
Hamilton, NJ 08619-2641
Phone
(609) 585-3200
Fax
(609) 586-3186
NPI assigned
Oct 26, 2016
Organization subpart
Yes
Parent organization
MERCER-OCEAN PODIATRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Frank John Killian, DPMNPI 1508853763
Title
Owner/Ceo
Phone
(732) 557-4266

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00240900 NJ Primary

Addresses

Primary practice location

2103 Whitehorse Mercerville Rd
Suite 4
Hamilton, NJ 08619-2641

Mailing address

202 Route 37 W Ste 4
Toms River, NJ 08755-8055
Phone (732) 688-8370

Other identifiers 4

IdentifierTypeStateIssuer
DW8603OtherNJGROUP PTAN
503446OtherNJMEDICARE PTAN MERCER OCEAN PODIATRY
066771OtherNJMEDICARE PTAN FJ KILLIAN
1508222746OtherNJGROUP NPI

National Provider Directory

National Provider Directory
Part of
Mercer-Ocean Podiatry

Locations

202 Route 37 W
Ste 4
Toms River, NJ 08755
Phone (732) 557-4266

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1659823508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ROUTE 37 W STE 4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558055",
            "telephone_number": "732-688-8370",
            "fax_number": "732-557-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 4",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192641",
            "telephone_number": "609-585-3200",
            "fax_number": "609-586-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER-OCEAN PODIATRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCER-OCEAN PODIATRY",
        "enumeration_date": "2016-10-26",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "732-557-4266",
        "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": "25MD00240900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "DW8603",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN MERCER OCEAN PODIATRY",
            "identifier": "503446",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FJ KILLIAN",
            "identifier": "066771",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1508222746",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.