NPIMap

Organization Active NPI

New Jersey Podiatric Physicians & Surgeons Group, LLC

  • Podiatrist
  • Raritan, NJ
National Provider Identifier
1659953016
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC
Practice address
575 Route 28 Ste 2107
Raritan, NJ 08869-1354
Phone
(908) 274-0390
Fax
(908) 332-5739
NPI assigned
Apr 26, 2021
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Cheryl Martinetti
Title
Chief Operating Officer
Phone
(732) 994-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

575 Route 28 Ste 2107
Raritan, NJ 08869-1354

Mailing address

4633 Hwy 9
Howell, NJ 07731-3324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210621002394 NJ DME Supplier - Physician - Podiatry 4385870153 Practice locations: Raritan, NJ

National Provider Directory

National Provider Directory
Tax ID family
New Jersey Podiatric Physicians and Surgeons Group LLC37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Locations

575 Route 28
Ste 2107
Raritan, NJ 08869
Phone (908) 274-0390

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1659953016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 HWY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28 STE 2107",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691354",
            "telephone_number": "908-274-0390",
            "fax_number": "908-332-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "MARTINETTI",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "732-994-5333"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raritan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.