| 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 |
|---|---|
| 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 |
| 1130013 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | MD2271 (New Jersey) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Greg D Clark |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629046289 PECOS PAC ID: 0749222354 Enrollment ID: I20050524000968 |
| Provider Name | James P Sullivan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508834151 PECOS PAC ID: 3375633381 Enrollment ID: I20071214000051 |
| Provider Name | Catherine L Churchill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043681539 PECOS PAC ID: 9739478553 Enrollment ID: I20160518001692 |
| Provider Name | Alex Olivera |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801250675 PECOS PAC ID: 3779819818 Enrollment ID: I20241009002262 |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Shore Podiatric Associates Po Box 825159, Philadelphia, PA 19182-5159 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 Route 35 Unit 312, Sea Girt, NJ 08750 Phone: 732-975-8200 | |
Ocean County Foot & Ankle Surgical Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2130 Route 35 Ste 312, Sea Girt, NJ 08750 Phone: 732-974-8200 Fax: 732-974-8202 | |
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 | |
Ocean County Foot & Ankle Surgical Associates Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2130 Route 35 Bldg C, Sea Girt, NJ 08750 Phone: 732-974-8200 | |
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 |