Individual provider Active NPI

Keith Brian Rosenthal, DPM

  • Podiatrist
  • Jackson, NJ
National Provider Identifier
1952370132
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00240300 Issued in NJ
Practice address
180 N County Line Rd
Ste H
Jackson, NJ 08527-4421
Phone
(732) 833-2800
Fax
(732) 833-4808
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00240300 NJ Primary

Addresses

Primary practice location

180 N County Line Rd
Ste H
Jackson, NJ 08527-4421

Mailing address

180 N County Line Rd
Ste H
Jackson, NJ 08527-4421
Phone (732) 833-2800

Other identifiers 1

IdentifierTypeStateIssuer
TZ7323107MedicaidNJ

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
I20080410000091 NJ Practitioner - Podiatry 2163470246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Center for Foot and Ankle Medicine,LLC.Group PAC ID 7113004433, 4 clinicians

Practice addresses (Care Compare)

35 Beaverson Blvd
Suite 1a
Brick, NJ 08723-7854
Phone (732) 477-0441

55 Kent Rd
Howell, NJ 07731-2452
Phone 73283328002452

Merit-based Incentive Payment System (MIPS)

Final score
75.42 of 100Reported as individual
Quality
63.51
Promoting interoperability
60
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions1-10
Removal of nail tissue2170
Removal or shaving of skin growth258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2403NJMDClinical Psychologist
25MD00240300NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Jackson Center for Foot and Ankle Medicine CurrentSince Jul 18, 1997 Accepting new patients
Jackson Center for Foot and Ankle Medicine,LLC Podiatrist CurrentSince Jul 18, 1997 Accepting new patients
Brian J Schultz, D.P.M. , P.a. Podiatrist Past Accepting new patients
Jackson Center for Foot and Ankle Medicine Past Accepting new patients
The Jackson Center for Foot and Ankle Medicine Past Accepting new patients

Locations

35 Beaverson Blvd
Ste 1A
Brick, NJ 08723
Phone (732) 477-0441

55 Kent Rd
Howell, NJ 07731
Phone (732) 833-2800

180 N County Line Rd
Ste H
Jackson, NJ 08527
Phone (732) 367-6611

728 Bennetts Mills Rd
Ste 2
Jackson, NJ 08527
Phone (732) 833-2800

Interoperability endpoints

  • Direct secure messaging: krosenthal425431@direct.ahsys.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1952370132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N COUNTY LINE RD",
            "address_2": "STE H",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274421",
            "telephone_number": "732-833-2800",
            "fax_number": "732-833-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N COUNTY LINE RD",
            "address_2": "STE H",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274421",
            "telephone_number": "732-833-2800",
            "fax_number": "732-833-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "KEITH",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00240300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TZ7323107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.