Podiatric Surgical Association of Central Jersey PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00119800 Issued in NJ

Legal business name

PODIATRIC SURGICAL ASSOCIATION OF CENTRAL JERSEY PA

Practice address

122 W Main St
Clinton, NJ 08809-1272

Phone

(908) 730-8881

Fax

(908) 730-6465

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Larry Cohen, DPM

Title

President

Phone

(908) 730-8881

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1972573871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W MAIN ST",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091272",
            "telephone_number": "908-730-8881",
            "fax_number": "908-730-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W MAIN ST",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091272",
            "telephone_number": "908-730-8881",
            "fax_number": "908-730-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC SURGICAL ASSOCIATION OF CENTRAL JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-730-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00119800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHN",
            "identifier": "110887",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "489684",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F03784",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0099717000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00195654",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "TS133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shea Patel, PA-C
• Paths Psychiatric Services, LLC
• Cosme Rolando Peccerelli, RPAC
• Jennifer A Petrillo, M.D.
• Kelly Nicole Pflug, D.C.
• Jhansi Rani Poreddy
• Anne M. Porter, M.D.
• Elise M Pozensky-Cohen, M.S., BCBA
• PPS of NJ LLC
• Michael S. Prezioso, PH.D.

• Podiatrist in Clinton, NJ
• Providers in Clinton, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.