THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE


Address: 35 Beaverson Blvd, 1, Brick, NJ 08723-7812
Phone: 7324770441

THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE (NPI# 1366976698) 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) 1366976698
Entity Type Organization
Organization Name THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE
Practice Address 35 Beaverson Blvd
1
Brick
NJ 08723-7812
Mailing Address 35 Beaverson Blvd
Bldg 1
Brick
NJ 08723-7812
Practice Telephone 7324770441
Enumeration Date 2017-04-13
Last Update Date 2017-04-13
Authorized Official Name STEPHANIE KASZUBA (OFFICE MANAGER)
Authorized Official Telephone 7328332800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
25MD00240300 NJ Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 7323107 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154736585 The Jackson Center for Foot and Ankle Medicine Podiatrist 728 Bennetts Mills Rd, Suite 2, Jackson, NJ 08527 2014-06-24

Office Location

Street Address 35 BEAVERSON BLVD
1
City BRICK
State NJ
Zip Code 08723-7812

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NPI Name Taxonomy Address Enumeration
1033103700 Jeffrey Bruce Finkel Podiatrist 35 Beaverson Blvd, Suite 4 A, Brick, NJ 08723-7812 2005-09-08
1144760588 S Novak Counseling, LLC Social Worker 35 Beaverson Blvd, Suite 4d, Brick, NJ 08723-7812 2017-03-05
1467901066 Deanna Lynn Brescia Counselor 35 Beaverson Blvd, Brick, NJ 08723-7812 2016-09-25
1649625476 The Turning Point: Cognitive and Educational Solutions, LLC Counselor 35 Beaverson Blvd, Suite 4d, Brick, NJ 08723-7812 2016-04-29
1508227026 Marie S Tallard Contractor 35 Beaverson Blvd, Suite 4d, Brick, NJ 08723-7812 2016-03-10
1417357617 Lina Pulido Dentist 35 Beaverson Blvd, Building 2 Suite D, Brick, NJ 08723 2014-08-26
1609275957 Pulido Dental Care Dentist 35 Beaverson Blvd, Building 2 Suite D, Brick, NJ 08723-7812 2014-08-21
1740606391 Rhodora Barretto Nurse Practitioner 35 Beaverson Blvd, Suite 6b, Brick, NJ 08723-7812 2014-03-06
1114341955 Brianne Bavosa Counselor 35 Beaverson Blvd, Building 6, Brick, NJ 08723-7812 2014-02-14
1265772305 Association for The Multiple Impaired Blind, Inc. Day Training, Developmentally Disabled Services 35 Beaverson Blvd, Bldg. #13, Brick, NJ 08723-7812 2013-02-27
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1578059283 Bricktowne Pharmacy LLC Pharmacy 101 Prosper Way, Unit C, Brick, NJ 08723 2018-07-05
1376045088 Katie Lynn Hueth Counselor 74 Brick Blvd., Building 4, Suite 206b, Brick, NJ 08723 2018-03-08
1548786445 Apmr Chiropractic Chiropractor 56 Chambers Bridge Road, Brick, NJ 08723 2017-08-22
1972050441 Donna Francese Counselor 104 Teakwood Drive, Brick, NJ 08723 2016-09-01
1780130377 Eastern Dental of Ocean/monmouth, LLC Dentist 2770 Hooper Ave., Unit 4, Brick, NJ 08723 2016-09-01
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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1194343103 Serenity Wig Design LLC Durable Medical Equipment & Medical Supplies 461 Us Highway 46, Fairfield, NJ 07004-1954 2020-07-07
1407473564 Advanced Dental Center of Cedar Knolls Pa Durable Medical Equipment & Medical Supplies 197 Ridgedale Ave Ste 245, Cedar Knolls, NJ 07927-2107 2020-07-06
1164065553 Millburn Sleep Dentistry Durable Medical Equipment & Medical Supplies 187 Millburn Ave Ste 5, Millburn, NJ 07041-1845 2019-10-18
1669023834 Rockaway Dental Associates, LLC Durable Medical Equipment & Medical Supplies 20 Union St., Rockaway, NJ 07866 2019-09-27
1194387894 Wigs By Barbara Durable Medical Equipment & Medical Supplies 673 Westwood Ave, River Vale, NJ 07675-6335 2019-07-02
1861056301 American Medical Equipment Supplies and Repairs LLC Durable Medical Equipment & Medical Supplies 480 Valley Rd, West Orange, NJ 07052-5236 2019-04-30
1306302666 Sleepbetternj Durable Medical Equipment & Medical Supplies 123 Route 33, Manalapan, NJ 07726-8302 2019-02-12
1124590120 Sleep Better South Jersey LLC Durable Medical Equipment & Medical Supplies 212 W Route 38 Ste 500, Moorestown, NJ 08057-3246 2019-01-02
1285106401 Acclaimed Healthcare Inc. Durable Medical Equipment & Medical Supplies 895 Towbin Ave Ste 5, Lakewood, NJ 08701-5971 2018-12-28
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Competitor

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City BRICK
Zip Code 08723

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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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