Jersey Shore Podiatric Associates | |
2130 Highway 35, Bldg C Ste 312, Sea Girt, NJ 08750-1010 | |
(732) 974-8200 | |
(732) 974-0190 |
Full Name | Jersey Shore Podiatric Associates |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2130 Highway 35, Sea Girt, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376575993 | NPI | - | NPPES |
6920101 | Medicaid | NJ | |
D06605800 | Other | NJ | CDS NUMBER |
MD2271 | Other | NJ | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | MD2271 (New Jersey) | Primary |
Provider Name | Greg D Clark |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1629046289 PECOS PAC ID: 0749222354 Enrollment ID: I20050524000968 |
Provider Name | James P Sullivan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1508834151 PECOS PAC ID: 3375633381 Enrollment ID: I20071214000051 |
Provider Name | Catherine L Churchill |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043681539 PECOS PAC ID: 9739478553 Enrollment ID: I20160518001692 |
Mailing Address | Practice Location Address |
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Jersey Shore Podiatric Associates 2130 Hwy 35, Bldg C Ste 312, Sea Girt, NJ 08750 Ph: (732) 974-8200 | Jersey Shore Podiatric Associates 2130 Highway 35, Bldg C Ste 312, Sea Girt, NJ 08750-1010 Ph: (732) 974-8200 |
Dr. Catherine Churchill, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2130 Route 35, Building C Suite 312, Sea Girt, NJ 08750 Phone: 732-974-8200 | |
Dr. James Patrick Sullivan, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2130 Highway 35, Bldg C Ste 312, Sea Girt, NJ 08750 Phone: 732-974-8200 Fax: 732-974-0190 | |
Dr. Greg D Clark, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2130 Highway 35, Bldg C Ste 312, Sea Girt, NJ 08750 Phone: 732-974-8200 Fax: 732-974-0190 | |
Adult Pediatric Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: Laurel Ave Hwy 35, Sea Girt, NJ 08750 Phone: 732-449-0444 |