Branchburg Podiatry Group LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BRANCHBURG PODIATRY GROUP LLC

Practice address

9 Lamington Rd
Branchburg, NJ 08876-3374

Phone

(908) 203-0122

NPI assigned

Aug 6, 2024

Last updated

Aug 6, 2024By 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

Morteza KhaladjNPI 1124055116

Title

Owner

Phone

(908) 203-0122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• Morteza Khaladj, PODIATRIST DP.M.

  • Foot & Ankle Surgery Podiatrist
  • Branchburg, NJ
  • NPI 1124055116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1669202453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LAMINGTON RD",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LAMINGTON RD",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763374",
            "telephone_number": "908-203-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHBURG PODIATRY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "KHALADJ",
        "authorized_official_first_name": "MORTEZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-203-0122"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Branchburg, NJ
• Providers in Branchburg, 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 Aug 6, 2024; 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.