Manahawkin Podiatry, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00225100 Issued in NJ

Legal business name

MANAHAWKIN PODIATRY, LLC

Practice address

102 E Bay Ave
Suite H
Manahawkin, NJ 08050-3175

Phone

(609) 978-2950

Fax

(609) 978-2961

NPI assigned

Aug 29, 2008

Organization subpart

No

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

Authorized official

Name

Mark William Stephens, DPMNPI 1881811412

Title

Podiatrist

Phone

(609) 978-2950

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.

• Mark William Stephens, DPM

  • Foot & Ankle Surgery Podiatrist
  • Manahawkin, NJ
  • NPI 1881811412
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1689822975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E BAY AVE",
            "address_2": "SUITE H",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503175",
            "telephone_number": "609-978-2950",
            "fax_number": "609-978-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E BAY AVE",
            "address_2": "SUITE H",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503175",
            "telephone_number": "609-978-2950",
            "fax_number": "609-978-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAHAWKIN PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "609-978-2950",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00225100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia M Majkutowski, RPH
• Helio J Malinverni, MD
• Manahawkin Chiropractic Associates, LLC
• Manahawkin Family Dental P.a.
• Manahawkin Healthcare LP
• Manahawkin Vision Inc.
• Cayenne Elizabeth Mandes, LCSW
• Ilya Manevich, MD
• Raymond P Mantovani, MD
• John Battista Manzella, C.A., MSTOM, DIPL.OM

• Foot & Ankle Surgery Podiatrist in Manahawkin, NJ
• Providers in Manahawkin, 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 2, 2011; 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.