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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 1D7323107 | 05 |
Other Name | Type Code |
---|---|
The Center for Foot and Ankle Medicine | Other Name - Individual/Organization |
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 |
Street Address |
728 BENNETTS MILLS RD SUITE 2 |
City | JACKSON |
State | NJ |
Zip Code | 08527 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 08527 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
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 |
Find all providers in JACKSON |
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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.