NPIMap

Organization Active NPI

New Jersey Podiatric Physicians & Surgeons Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Monmouth Junction, NJ
National Provider Identifier
1689038895
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00311600 Issued in NJ
Legal business name
NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC
Practice address
1 Executive Dr
Suite 202
Monmouth Junction, NJ 08852-2446
Phone
(732) 662-3050
Fax
(732) 662-3049
NPI assigned
Apr 13, 2016
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Hal Ornstein, D.P.M
Title
President
Phone
(732) 994-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00311600 NJ Primary

Addresses

Primary practice location

1 Executive Dr
Suite 202
Monmouth Junction, NJ 08852-2446

Mailing address

4633 Hwy 9
Howell, NJ 07731-3324
Phone (732) 994-5333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160831000387 NJ DME Supplier - Physician - Podiatry 4385870153 Practice locations: Monmouth Junction, NJ

National Provider Directory

National Provider Directory
Tax ID family
New Jersey Podiatric Physicians and Surgeons Groupllc37 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

1 Executive Dr
Ste 202
Monmouth Junction, NJ 08852
Phone (732) 662-3050

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1689038895",
    "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",
            "telephone_number": "732-994-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR",
            "address_2": "SUITE 202",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522446",
            "telephone_number": "732-662-3050",
            "fax_number": "732-662-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "ORNSTEIN",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-994-5333",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00311600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.