THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE


Address: 728 Bennetts Mills Rd, Suite 2, Jackson, NJ 08527
Phone: 7328332800

THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE (NPI# 1154736585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154736585
Entity Type Organization
Organization Name THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE
Other Organization Name THE CENTER FOR FOOT AND ANKLE MEDICINE
Practice Address 728 Bennetts Mills Rd
Suite 2
Jackson
NJ 08527
Practice Telephone 7328332800
Practice Fax Number 7328334808
Mailing Telephone 7328332800
Mailing Fax Number 7328334808
Enumeration Date 2014-06-24
Last Update Date 2014-06-24
Authorized Official Name MR. KEITH BRIAN ROSENTHAL (OWER/PHYSICIAN)
Authorized Official Telephone 7328332800
Authorized Official Credential D.P.M.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 1D7323107 05

Other Provider/Organization Names

Other Name Type Code
The Center for Foot and Ankle Medicine Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366976698 The Jackson Center for Foot and Ankle Medicine Durable Medical Equipment & Medical Supplies 35 Beaverson Blvd, 1, Brick, NJ 08723-7812 2017-04-13

Office Location

Street Address 728 BENNETTS MILLS RD
SUITE 2
City JACKSON
State NJ
Zip Code 08527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235108838 Lambros R. Lambrou Chiropractor 728 Bennetts Mills Rd, Suite 1, Jackson, NJ 08527-3850 2006-03-16
1790397289 Jessica Nicole D'angelo Physical Therapist 728 Bennetts Mills Rd, Jackson, NJ 08527-3850 2020-08-18
1245877539 Erin Marie Glorioso Chiropractor 728 Bennetts Mills Rd, Jackson, NJ 08527-3850 2019-12-05
1346718624 Magdalene Hanna Physical Therapist 728 Bennetts Mills Rd, Jackson, NJ 08527-3850 2018-11-05
1477096410 Jackson Center for Foot and Ankle Medicine Non-Pharmacy Dispensing Site 728 Bennetts Mills Rd, Jackson, NJ 08527-3850 2016-11-23
1336695204 Advanced Spine Care and Physical Rehabilitation Non-Pharmacy Dispensing Site 728 Bennetts Mills Rd, Jackson, NJ 08527-3850 2016-08-30
1609241793 Danielle Shugard Physical Therapist 728 Bennetts Mills Rd, Jackson, NJ 08527-3850 2015-12-01
1225409576 Angela Fahmy Counselor 728 Bennetts Mills Rd, Jackson, NJ 08527-3850 2015-10-13
1932500212 Mitchell Andrew Pernal II Chiropractor 728 Bennetts Mills Rd, Jackson, NJ 08527-3850 2014-09-05
1417356775 Sina Safar Podiatrist 728 Bennetts Mills Rd, Suite 2, Jackson, NJ 08527-3850 2014-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750923959 Patricia Ann Benjamino Technician 8 Poplar Street, Jackson, NJ 08527 2019-10-09
1811456890 Step By Step Behavioral Therapy, LLC Behavioral Analyst 18 Walter Drive, Jackson, NJ 08527 2019-03-18
1326520255 Sarah Chalnick Physical Therapist 2290 W County Line Road Suite 215, Jackson, NJ 08527 2018-09-06
1679071401 Louro Chiropractic Center LLC Chiropractor 180 North County Line Road, Jackson, NJ 08527 2018-01-26
1487183737 Arkady Khaykin Dentist 24 N Cooks Bridge Rd, Jackson, NJ 08527 2017-06-09
1912362815 Executive Home Healthcare Home Health 17 N Hope Chapel Rd, Jackson, NJ 08527 2015-12-18
1629455274 Rachel Solny Speech-Language Pathologist 70 Villanova Dr, Jackson, NJ 08527 2015-05-04
1235525486 Encore Dental of Jackson Dentist 2275 West County Line Rd., Jackson, NJ 08527 2015-04-14
1093108243 Joseph Davis Dentist 2064 W County Line Rd, Jackson, NJ 08527 2015-03-12
1477955037 Jackson Village Pharmacy LLC Pharmacy 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 2014-09-25
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851913842 Premier Podiatry LLC Podiatrist 5434 River Thames Rd, Jackson, MS 39211-4133 2020-05-12
1164873527 Blake Brannick Podiatrist 3333 Spring Arbor Rd Ste 200, Jackson, MI 49203-8622 2016-06-28
1518201920 Eugene D Rohacz D P M P C Podiatrist 1518 W Michigan Ave, Jackson, MI 49202-4025 2012-11-26
1942463567 Stanitia W. Davis Podiatrist 953 North St, Suite A, Jackson, MS 39202-2615 2008-07-03
1922425560 Caroline Kiser Podiatrist 2863 Highway 45 Byp, Jackson, TN 38305-3618 2014-03-20
1962740696 Nicolas Arcuri Podiatrist 657 Skyline Dr, Suite A, Jackson, TN 38301-3903 2013-01-31
1912273814 Davis Podiatry, LLC Podiatrist 128 Poindexter St, Jackson, MS 39203-3048 2012-03-26
1699004606 Somc Medical Group PC Podiatrist 2290 W County Line Rd, Jackson, NJ 08527-2267 2009-12-22
1184885147 Mississippi Foot Clinic, Inc Podiatrist 128 Poindexter St, Jackson, MS 39203-3048 2008-06-23
1609047372 Jackson Center for Foot and Ankle Medicine,llc Podiatrist 180 N County Line Rd, Jackson, NJ 08527-4421 2008-03-20
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Competitor

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City JACKSON
Zip Code 08527

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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