JASON D LARSON (NPI# 1215905203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215905203 |
Entity Type | Individual |
Full Name | JASON D LARSON |
Credential | D.P.M. |
Practice Address |
2211 Route 88 E Brick NJ 08724-3229 |
Practice Telephone | 7328990015 |
Mailing Telephone | 7328990015 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2008-05-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | MD002476 | NJ | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
MD002476 | NJ | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | HORIZON NJ HEALTH | 1088552 | 01 |
NJ | RAILROAD | P00139128 | 01 |
NJ | HEALTHNET | 2K5453 | 01 |
NJ | 9112600 | 05 | |
NJ | OXFORD | P1134870 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750718813 | Jason Larson | Respiratory Therapist, Registered | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2013-10-03 |
1194948232 | Jason Joseph Larson | Specialist/Technologist | 2500 Main St, Lawrenceville, NJ 08648-1600 | 2007-04-10 |
1710941240 | Jason Jerry Larson | Emergency Medicine | 250 W 300 N, Roosevelt, UT 84066-2336 | 2006-04-13 |
Street Address |
2211 ROUTE 88 E |
City | BRICK |
State | NJ |
Zip Code | 08724-3229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508830142 | Allen J Atheras | Podiatrist | 2211 Route 88 E, Brick, NJ 08724-3229 | 2006-02-13 |
1518325166 | Kristen Abbatemarco | Social Worker | 2211 Route 88 E, Brick, NJ 08724-3271 | 2016-02-10 |
1851655476 | Gerald C Almazan | Pediatrics | 2211 Route 88 E, Suite 2a, Brick, NJ 08724-3271 | 2012-06-28 |
1558622688 | Mitchann Smoyak | Social Worker | 2211 Route 88 E, Suite 2b, Brick, NJ 08724-3271 | 2012-06-05 |
1952675886 | James Kniffen Holmes IIi | Podiatrist | 2211 Route 88 E, Brick, NJ 08724-3271 | 2012-02-23 |
1700026382 | Adults & Children Behavioral Counseling Center LLC | Counselor | 2211 Route 88 E, Suite 2b, Brick, NJ 08724-3271 | 2009-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
Find all providers in zip 08724 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053639518 | Erik Rudorfer | Podiatrist | 788 Maple Ave, Brick, NJ 08724-2150 | 2010-05-08 |
1598861585 | Dr. Theodore D'amato, PC | Podiatrist | 214 Chambersbridge Rd, Brick, NJ 08723-2802 | 2006-09-16 |
1316475973 | Brick Foot & Ankle Center, PC | Podiatrist | 292 Herbertsville Rd, Brick, NJ 08724-1734 | 2017-05-26 |
1952675886 | James Kniffen Holmes IIi | Podiatrist | 2211 Route 88 E, Brick, NJ 08724-3271 | 2012-02-23 |
1598058554 | John Mostafa | Podiatrist | 292 Herbertsville Rd, Brick, NJ 08724-1734 | 2011-05-24 |
1184720161 | Theodore A. D'amato | Podiatrist | 214 Chambersbridge Rd, Brick, NJ 08723-2802 | 2006-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
Find all providers with the same taxonomy |
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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.