Ocean County Foot & Ankle Surgical Associates
Podiatrist, Foot & Ankle Surgery in Forked River, NJ. Organization (NPI-2).
NPI number1982141065
StatusActive
Last updated in NPPESJan 31, 2025
Details
- NPI
- 1982141065
- Entity type
- Organization (NPI-2)
- Legal business name
- Ocean County Foot & Ankle Surgical Associates
- Organization subpart
- No
- Enumeration date
- Jan 26, 2017
- Certification date
- Jan 31, 2025
- Last updated
- Jan 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
638 Lacey RdForked River, NJ 08731-2104
Phone 609-693-3202 · Fax 609-639-7865
Mailing address
Po Box 825159Philadelphia, PA 19182-5159
Phone 732-505-4500 · Fax 732-505-9787
Authorized official
Gene Mirkin
Authorized Official
4102667575
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