Individual provider Active NPI

Jeffrey Thomas Knemoller, DPM

  • Primary Podiatric Medicine Podiatrist
  • Staten Island, NY
National Provider Identifier
1710018007
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N005784-01 Issued in NY
Practice address
38 Bent St
Staten Island, NY 10312-3702
Phone
(732) 690-5634
Fax
(732) 873-9114
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N005784-01 NY Primary

Addresses

Primary practice location

38 Bent St
Staten Island, NY 10312-3702

Mailing address

38 Bent St
Staten Island, NY 10312-3702
Phone (732) 690-5634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040310000413 NJ Practitioner - Podiatry 9335037399 Reassigns benefits to 6 organizations
Practice locations: Somerset, NJ
I20150824000614 NY Practitioner - Podiatry 9335037399 Reassigns benefits to 3 organizations
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0057841NYMDPodiatrist
25MD00230600NJMDFoot & Ankle Surgery Podiatrist
MD02306NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Phase Two Podiatry PC Podiatrist CurrentSince Aug 1, 2023 Accepting new patients
Podiatry Center of New Jersey, LLC Podiatrist CurrentSince Jul 1, 2024 Accepting new patients
Pedirite Medical NJ LLC Podiatrist CurrentSince Jan 1, 2023 Accepting new patients
Advanced Dermatology of New Jersey PC CurrentSince Jan 6, 2021 Accepting new patients
My Medical PC Podiatrist CurrentSince Feb 17, 2026 Accepting new patients
Infinite Medical PC CurrentSince Jun 11, 2023 Accepting new patients
Josef Geldwert DPM PC CurrentSince May 20, 2022 Accepting new patients
Rite Medical PLLC CurrentSince Jan 1, 2023 Accepting new patients
Foot Forward Podiatry PC Podiatrist CurrentSince Nov 15, 2024 Accepting new patients
Josh C Ehrlich DPM PC CurrentSince May 1, 2023 Accepting new patients
Peyman Younesi MD PLLC Past Accepting new patients
Central Jeresy Nephorology Past Accepting new patients
Paige Applebaum Farkas MD PA Past Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients

Locations

1700 Wynwood Dr
Cinnaminson, NJ 08077
Phone (215) 336-4869

1213 Westfield Ave
Clark, NJ 07066
Phone (732) 396-7100

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

5101 N Park Dr
Pennsauken, NJ 08109
Phone (856) 665-8844

52 Deforest Ave
Summit, NJ 07901
Phone (908) 277-3116

510 Hamburg Tpke
Ste 108
Wayne, NJ 07470
Phone (718) 431-4979

69 Maple Rd
#506
West Milford, NJ 07480
Phone (973) 697-5640

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

250 Skillman St
Ste 202
Brooklyn, NY 11205

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

366 Veterans Memorial Hwy
Ste 2A
Commack, NY 11725

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

301 Mill Rd
Ste U7
Hewlett, NY 11557

6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

21 Ferncliff Dr
Rhinebeck, NY 12572
Phone (845) 516-1663

110 Henderson Ave
Staten Island, NY 10301
Phone (516) 295-1924

10 Mitchell Pl
Ste 105
White Plains, NY 10601
Phone (212) 996-1900

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710018007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BENT ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123702",
            "telephone_number": "732-690-5634",
            "fax_number": "732-873-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BENT ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123702",
            "telephone_number": "732-690-5634",
            "fax_number": "732-873-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEMOLLER",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N005784-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.