New Jersey Podiatric Physicians & Surgeons Group LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Freehold, NJ
NPI 1720797160 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1720797160
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP LLC
- Practice address
- 4249 Route 9 N Unit B
Freehold, NJ 07728-8308 - Phone
- (732) 679-4330
- Fax
- (732) 679-4777
- NPI assigned
- Nov 15, 2022
- Organization subpart
- No
Authorized official
- Name
- Cheryl Martinetti
- Title
- Ceo
- Phone
- (732) 994-5333
Other NPIs on the same Medicare enrollment 4
Practitioners 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131204000106 | NJ | Part B Supplier - Clinic/Group Practice | 4385870153 |
Receives reassigned benefits from 37 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lake Hopatcong, NJ; Lawrenceville, NJ; Lumberton, NJ; Manalapan, NJ; Marlton, NJ; Metuchen, NJ; Monmouth Junction, NJ; Monroe, NJ… |
| O20230719000769 | NJ | DME Supplier - Physician - Podiatry | 4385870153 | Practice locations: Freehold, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
4249 Route 9 N Unit B
Freehold, NJ 07728-8308
Mailing address
4633 Hwy 9
Howell, NJ 07731-3324
Other names
- Advanced Feet & Ankle
Other providers in Freehold, NJ
- New Jersey CVS Pharmacy LLC
- New Jersey Disability Safe at Home
- New Jersey Infusion PA
- New Jersey Orthopedic Associates
- New Jersey Podiatric Physicians & Surgeons Group LLC
- New Jersey Podiatric Physicians and Surgeons Group, LLC
- New Leaf Psychotherapy LLC
- New Reflections Plastic Surgery LLC
- Nexus Core Physicians LLC
- Elena M. NG
All providers in Freehold, NJ · Foot & Ankle Surgery Podiatrist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.