Individual provider Active NPI

Jennifer O Alegun, DPM

  • Foot & Ankle Surgery Podiatrist
  • Edison, NJ
National Provider Identifier
1891439386
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00389600 Issued in NJ
Practice address
1656 Oak Tree Rd Ste 3a
Edison, NJ 08820-2862
Phone
(732) 421-6907
Fax
(201) 603-1812
NPI assigned
Apr 21, 2022
Last updated
Aug 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00389600 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00389600 NJ Primary

Addresses

Primary practice location

1656 Oak Tree Rd Ste 3a
Edison, NJ 08820-2862

Mailing address

1000 Montauk Hwy
West Islip, NY 11795-4927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014001251 NJ Practitioner - Podiatry 8022463843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 Skillman St
Suite 204
Brooklyn, NY 11205-4812

34 Madison Ave
Piscataway, NJ 08854-5237

680 Kinderkamack Rd
Suite 300
Oradell, NJ 07649-1600

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue47
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00389600NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sovereign Medical Group LLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Pedirite Medical NJ LLC Single Specialty CurrentSince Sep 21, 2025 Accepting new patients
Mina Abadeer DPM PC Single Specialty PastSince Aug 17, 2025 Accepting new patients

Locations

1700 Wynwood Dr
Cinnaminson, NJ 08077
Phone (215) 336-4869

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

299 Forest Ave
Paramus, NJ 07652
Phone (201) 261-3600

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1891439386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 OAK TREE RD STE 3A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202862",
            "telephone_number": "732-421-6907",
            "fax_number": "201-603-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEGUN",
        "first_name": "JENNIFER",
        "middle_name": "O",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00389600",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00389600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.