Individual provider Active NPI

Brian Jeffrey Schultz, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Jackson, NJ
National Provider Identifier
1689632952
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
25MD00263800 Issued in NJ
Practice address
180 N County Line Rd Ste H
Jackson, NJ 08527-4797
Phone
(732) 367-6611
Fax
(732) 886-6702
NPI assigned
May 3, 2006
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00263800 NJ Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 005054 NY

Addresses

Primary practice location

180 N County Line Rd Ste H
Jackson, NJ 08527-4797

Mailing address

180 N County Line Rd Ste H
Jackson, NJ 08527-4797
Phone (732) 367-6611

Other identifiers 1

IdentifierTypeStateIssuer
01518643MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060524000087 NJ Practitioner - Podiatry 3375578735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 N County Line Rd
Suite H
Jackson, NJ 08527-4797
Phone (732) 367-6611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
64.99 of 100Reported as individual
Quality
26.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue889
Removal or shaving of skin growth251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian J Schultz, D.P.M., P.a. CurrentSince Jun 8, 2006 Accepting new patients
Brian J Schultz, D.P.M. , P.a. Primary Podiatric Medicine CurrentSince Jun 8, 2006 Accepting new patients
Foot Forward Podiatry PC CurrentSince Mar 30, 2022 Accepting new patients
Foot Forward Podiatry, LLC Past Accepting new patients

Locations

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

180 N County Line Rd
Ste H
Jackson, NJ 08527
Phone (732) 367-6611

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1689632952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N COUNTY LINE RD STE H",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274797",
            "telephone_number": "732-367-6611",
            "fax_number": "732-886-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N COUNTY LINE RD STE H",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274797",
            "telephone_number": "732-367-6611",
            "fax_number": "732-886-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "BRIAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00263800",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "005054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01518643",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.