Organization Active NPI

Dr. Brandon M. Zuklie, LLC

  • Foot & Ankle Surgery Podiatrist
  • Piscataway, NJ
National Provider Identifier
1730367202
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00265700 Issued in NJ
Legal business name
DR. BRANDON M. ZUKLIE, LLC
Practice address
2 Mitchell Ave
Piscataway, NJ 08854-5523
Phone
(732) 699-1900
Fax
(732) 699-1901
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Dr. Brandon M Zuklie, DPMNPI 1336231208
Title
Owner
Phone
(732) 699-1900

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00265700 NJ Primary
Durable Medical Equipment & Medical Supplies 332B00000X 25MD00265700 NJ

Addresses

Primary practice location

2 Mitchell Ave
Piscataway, NJ 08854-5523

Mailing address

2 Mitchell Ave
Piscataway, NJ 08854-5523
Phone (732) 699-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080403000004 NJ Part B Supplier - Clinic/Group Practice 9739266685 Receives reassigned benefits from 1 practitioner
Practice locations: Branchburg, NJ; Monroe TWP, NJ; Piscataway, 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
Tax ID family
Dr Brandon M Zuklie LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1730367202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MITCHELL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545523",
            "telephone_number": "732-699-1900",
            "fax_number": "732-699-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MITCHELL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545523",
            "telephone_number": "732-699-1900",
            "fax_number": "732-699-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRANDON M. ZUKLIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "ZUKLIE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-699-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00265700",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "25MD00265700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.