| Lakshmi Manisha Mummadisingu, DPM | |
| 
					130 Maple Ave Ste 3b, Red Bank, NJ 07701-1729  | |
| (732) 747-2111 | |
| Not Available | 
| Full Name | Lakshmi Manisha Mummadisingu | 
|---|---|
| Gender | Female | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 130 Maple Ave Ste 3b, Red Bank, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780147835 | NPI | - | NPPES | 
| 0909211 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | 25MD00370200 (New Jersey) | Secondary | 
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00370200 (New Jersey) | Primary | 
| Provider Name | Proactive Foot And Ankle | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1639699325 PECOS PAC ID: 7719246214 Enrollment ID: O20180108002538  | 
| Provider Name | Curalta Medical Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1801568605 PECOS PAC ID: 0749670453 Enrollment ID: O20211210001446  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lakshmi Manisha Mummadisingu, DPM 7600 River Rd, North Bergen, NJ 07047-6217 Ph: () -  | Lakshmi Manisha Mummadisingu, DPM 130 Maple Ave Ste 3b, Red Bank, NJ 07701-1729 Ph: (732) 747-2111  | 
Dr. Steven Deitch, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 130 Maple Avenue, Suite 3b, Red Bank, NJ 07701 Phone: 732-747-2111 Fax: 732-530-1348  | |
Dr. Michael A Thomas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 525 State Route 35, Red Bank, NJ 07701 Phone: 848-216-0765  | |
New Jersey Podiatric Physicians And Surgeons Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 130 Maple Ave, Ste. 3b, Red Bank, NJ 07701 Phone: 732-747-2111  | |
Daniel Joseph Pontone, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 252 Broad St, Red Bank, NJ 07701 Phone: 732-842-7061  | |
Riverview Foot & Ankle Associates, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 130 Maple Avenue, Suite 3b, Red Bank, NJ 07701 Phone: 732-747-2111 Fax: 732-530-1348  | |
Alexander M Malek, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 130 Maple Ave Ste 3b, Red Bank, NJ 07701 Phone: 732-747-2111  | |
Elite Tri-state Foot Care, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 62 Glenmary Ave, Red Bank, NJ 07701 Phone: 732-835-8524  |