Organization Active NPI

Middletown Foot & Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Middletown, NJ
National Provider Identifier
1750147047
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MIDDLETOWN FOOT & ANKLE LLC
Practice address
1650 State Route 35 Ste 4
Middletown, NJ 07748-1865
Phone
(732) 790-5599
Fax
(732) 790-8445
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Mithun SivadasanNPI 1912351594
Title
Podiatrist
Phone
(732) 790-5599

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1650 State Route 35 Ste 4
Middletown, NJ 07748-1865

Mailing address

1650 State Route 35 Ste 4
Middletown, NJ 07748-1865
Phone (732) 790-5599

Other practice location 1

171 Amboy Ave
Metuchen, NJ 08840-2553
Phone (732) 790-5599

Other practice location 2

618 Main St
Toms River, NJ 08753-7424
Phone (732) 349-0114

Other practice location 3

2 Lincoln Hwy Ste 311B
Edison, NJ 08820-3989
Phone (732) 790-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240417000783 NJ Part B Supplier - Clinic/Group Practice 0244679744 Receives reassigned benefits from 3 practitioners
Practice locations: Middletown, NJ; Edison, NJ
O20250218001318 NJ DME Supplier - Physician - Podiatry 0244679744 Practice locations: Middletown, NJ

National Provider Directory

National Provider Directory

Locations

7 Progress St
Edison, NJ 08820
Phone (609) 838-7284

407 Main St
Ste 215
Metuchen, NJ 08840
Phone (516) 263-4191

1650 State Route 35
Ste 4
Middletown, NJ 07748
Phone (732) 671-2255

108 Commons Way
Toms River, NJ 08755
Phone (732) 505-0080

Practitioners & affiliated clinicians

Practitioners 3

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": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1750147047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 STATE ROUTE 35 STE 4",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481865",
            "telephone_number": "732-790-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 STATE ROUTE 35 STE 4",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481865",
            "telephone_number": "732-790-5599",
            "fax_number": "732-790-8445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Amboy Ave",
            "address_purpose": "LOCATION",
            "city": "Metuchen",
            "state": "NJ",
            "postal_code": "088402553",
            "country_code": "US",
            "telephone_number": "732-790-5599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Main St",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087537424",
            "country_code": "US",
            "telephone_number": "732-349-0114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Lincoln Hwy Ste 311B",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203989",
            "country_code": "US",
            "telephone_number": "732-790-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDDLETOWN FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "SIVADASAN",
        "authorized_official_first_name": "MITHUN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "732-790-5599"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.