1. Home
  2. Directory
  3. New Jersey
  4. Bound Brook
  5. Podiatrist
  6. NPI Profile

GARDEN STATE PODIATRY, LLC
NPI 1194084640
Podiatrist - Foot & Ankle Surgery in Bound Brook, NJ

Active since May 03, 2012
4 E HIGH ST, BOUND BROOK, NJ 08805(732) 537-9200(732) 356-3750 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Garden State Podiatry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARDEN STATE PODIATRY, LLC (NPI 1194084640) is a healthcare organization registered as a foot & ankle surgery in Bound Brook, New Jersey and active in the NPI registry since May 2012. The organization lists Ujjwal Kumar Datta, Owner, as its authorized official.

NPPES Registry Identity

NPI1194084640
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGARDEN STATE PODIATRY, LLC
Location Address4 E HIGH STBound Brook, NJ 08805-1946
Mailing Address4 E High StBound Brook, NJ 08805-1946 · (732) 537-9200 · Fax (732) 356-3750
Phone(732) 537-9200
Fax(732) 356-3750
Organization SubpartNo
Authorized OfficialUjjwal Kumar DattaOwner · (732) 537-9200
Enumeration DateMay 3, 2012
✔ NPI 1194084640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
4 E HIGH ST, Bound Brook, NJ 08805
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINU95126NJ
Medicare PIN071763NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garden State Podiatry, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Garden State Podiatry, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ujjwal Datta, DPM
Podiatry
NPI 1760486385
4 E HIGH ST
Bound Brook, NJ 08805
(732) 537-9200
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garden State Podiatry, LLC's NPI number?

The NPI number for Garden State Podiatry, LLC is 1194084640. It was assigned to this organization in the NPPES registry on May 3, 2012.

Where is Garden State Podiatry, LLC located?

Garden State Podiatry, LLC is located at 4 E High St, Bound Brook, NJ 08805. The listed phone number is (732) 537-9200.

What is Garden State Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Garden State Podiatry, LLC enrolled in Medicare?

Yes. Garden State Podiatry, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Garden State Podiatry, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Garden State Podiatry, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Garden State Podiatry, LLC was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.