Active NPI
Jeffrey Thomas Knemoller, DPM
- Primary Podiatric Medicine Podiatrist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- N005784-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| N0057841 | NY | MD | Podiatrist |
| 25MD00230600 | NJ | MD | Foot & Ankle Surgery Podiatrist |
| MD02306 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phase Two Podiatry PC | Podiatrist | Current | Accepting new patients |
| Podiatry Center of New Jersey, LLC | Podiatrist | Current | Accepting new patients |
| Pedirite Medical NJ LLC | Podiatrist | Current | Accepting new patients |
| Advanced Dermatology of New Jersey PC | Current | Accepting new patients | |
| My Medical PC | Podiatrist | Current | Accepting new patients |
| Infinite Medical PC | Current | Accepting new patients | |
| Josef Geldwert DPM PC | Current | Accepting new patients | |
| Rite Medical PLLC | Current | Accepting new patients | |
| Foot Forward Podiatry PC | Podiatrist | Current | Accepting new patients |
| Josh C Ehrlich DPM PC | Current | 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.
-
- Procedural Dermatology Physician
- Ridgewood, NJ
- NPI 1225362783
NJ
-
- Sports Medicine Podiatrist
- New York, NY
- NPI 1467511154
-
- Procedural Dermatology Physician
- Forest Hills, NY
- NPI 1598054520
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.