New Jersey Podiatric Physicians & Surgeons Group LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Lawrenceville, NJ
NPI 1659905685 · NPPES record last updated Feb 28, 2020
Key facts
- NPI
- 1659905685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP LLC
- Practice address
- 132 Franklin Corner Rd Ste C1
Lawrenceville, NJ 08648-2523 - Phone
- (609) 512-1381
- NPI assigned
- Feb 28, 2020
- Organization subpart
- No
Authorized official
- Name
- Cheryl Martinetti
- Title
- Chief Operating Officer
- Phone
- (732) 994-5333
Corporate family (same tax ID) 36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200319000890 | NJ | DME Supplier - Physician - Podiatry | 4385870153 | Practice locations: Lawrenceville, NJ |
National Provider Directory
- Tax ID family
- New Jersey Podiatric Physicians Surgeons Group LLC
Locations
132 Franklin Corner Rd
Ste C-1
Lawrenceville, NJ 08648
Phone (609) 512-1381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
132 Franklin Corner Rd Ste C1
Lawrenceville, NJ 08648-2523
Mailing address
4633 Hwy 9
Howell, NJ 07731-3324
Other names
- Lawrenceville Foot Care LLC
Other providers in Lawrenceville, NJ
- Neuro-Group, PA
- Neuroscapes Music Therapy and Integrated Services
- New Jersey CVS Pharmacy LLC
- New Jersey CVS Pharmacy LLC
- New Jersey Neck & Back Institute PC
- Savian P. Nicholas
- Anitha Nimma
- Kathy Niu
- NJ Sleep Care
- Nora Torres PSYD PLLC
All providers in Lawrenceville, 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 Feb 28, 2020. 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.