Organization Active NPI

General Podiatric Care LLC

  • Podiatrist
  • Manalapan, NJ
National Provider Identifier
1710351242
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD0024540 Issued in NJ
Legal business name
GENERAL PODIATRIC CARE LLC
Practice address
198 US Highway 9
Manalapan, NJ 07726-3073
Phone
(732) 617-9999
Fax
(718) 720-1304
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Dr. Ewa D'Silva, DPMNPI 1730105255
Title
DPM
Phone
(718) 720-8372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD0024540 NJ Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

198 US Highway 9
Manalapan, NJ 07726-3073

Mailing address

10 Putters CT
Staten Island, NY 10301-3364
Phone (718) 720-8372

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160603000977 NJ DME Supplier - Physician - Podiatry 6406913508 Practice locations: Manalapan, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

198 US Highway 9
Manalapan, NJ 07726
Phone (732) 617-9999

25 Kilmer Dr
Unit 1
Morganville, NJ 07751
Phone (732) 617-9999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1710351242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PUTTERS CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013364",
            "telephone_number": "718-720-8372",
            "fax_number": "718-720-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 US HIGHWAY 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263073",
            "telephone_number": "732-617-9999",
            "fax_number": "718-720-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL PODIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "D'SILVA",
        "authorized_official_first_name": "EWA",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "718-720-8372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD0024540",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "198 US Highway 9",
            "city": "Manalapan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077263073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.