Organization Active NPI

Jordan Steinberg D.P.M. LLC

  • Podiatrist
  • Millburn, NJ
National Provider Identifier
1922752005
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JORDAN STEINBERG D.P.M. LLC
Practice address
227 Millburn Ave
Millburn, NJ 07041-1719
Phone
(973) 762-9294
Fax
(973) 762-9262
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Taramichelle Craft
Title
Credentialing Clerk
Phone
(228) 366-4335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X Primary
Podiatric Clinic/Center 261QP1100X

Addresses

Primary practice location

227 Millburn Ave
Millburn, NJ 07041-1719

Mailing address

227 Millburn Ave
Millburn, NJ 07041-1719
Phone (973) 762-9294

Other names 1

  • The Podiatry Center PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151216000168 NJ Part B Supplier - Clinic/Group Practice 1759682701 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Florham Park, NJ; Millburn, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1922752005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411719",
            "telephone_number": "973-762-9294",
            "fax_number": "973-762-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411719",
            "telephone_number": "973-762-9294",
            "fax_number": "973-762-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN STEINBERG D.P.M. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "TARAMICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING CLERK",
        "authorized_official_telephone_number": "228-366-4335"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Podiatry Center PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Podiatry Center PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.