Organization Active NPI

Belanger Podiatry Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Oakhurst, NJ
National Provider Identifier
1881982197
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00253200 Issued in NJ
Legal business name
BELANGER PODIATRY ASSOCIATES, LLC
Practice address
1806 State Route 35 Ste 103
Oakhurst, NJ 07755-2766
Phone
(732) 643-5500
Fax
(732) 869-4522
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Dr. Susan Lynn Belanger, D.P.M.NPI 1104894195
Title
Podiatrist
Phone
(908) 489-7357

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 25MD00253200 NJ Primary

Addresses

Primary practice location

1806 State Route 35 Ste 103
Oakhurst, NJ 07755-2766

Mailing address

1806 State Route 35 Ste 103
Oakhurst, NJ 07755-2766
Phone (732) 643-5500

Other identifiers 2

IdentifierTypeStateIssuer
043113OtherNJMEDICARE
9112707MedicaidNJ

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110725000250 NJ Part B Supplier - Clinic/Group Practice 7517135296 Receives reassigned benefits from 1 practitioner
Practice locations: Oakhurst, NJ
O20120113000759 NJ DME Supplier - Physician - Podiatry 7517135296 Practice locations: Neptune, NJ

National Provider Directory

National Provider Directory

Locations

2100 State Route 33
Ste 3
Neptune City, NJ 07753
Phone (732) 643-5500

Practitioners & affiliated clinicians

Practitioners 5

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": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1881982197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 STATE ROUTE 35 STE 103",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552766",
            "telephone_number": "732-643-5500",
            "fax_number": "732-869-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 STATE ROUTE 35 STE 103",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552766",
            "telephone_number": "732-643-5500",
            "fax_number": "732-869-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELANGER PODIATRY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BELANGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "908-489-7357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00253200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "043113",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9112707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.