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JERISAN JEGANATHAN DPM
NPI 1376282319
Podiatrist in Wayne, NJ

Active since May 28, 2022PECOS EnrolledAccepts Medicare Assignment
510 HAMBURG TPKE STE 108, WAYNE, NJ 07470(973) 925-4111 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerisan Jeganathan Dpm NPPES

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

JERISAN JEGANATHAN DPM (NPI 1376282319) is an individual podiatrist in Wayne, New Jersey, licensed in New Jersey (25MD00388700) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Temple University School Of Podiatric Medicine (2022).

NPPES Registry Identity

NPI1376282319
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameJERISAN JEGANATHANCredential: DPM
Location Address510 HAMBURG TPKE STE 108Wayne, NJ 07470-2033
Mailing Address510 Hamburg Tpke Ste 108Wayne, NJ 07470-2033 · (973) 925-4111
Phone(973) 925-4111
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2022
Enumeration DateMay 28, 2022
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1376282319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NJ · 25MD00388700
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
510 HAMBURG TPKE STE 108, Wayne, NJ 07470
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Secondary Practice Locations 2

Location 11 Healthy WayOceanside, NY 11572-1551 · Phone (516) 632-3000
Location 235 Pilcher StStaten Island, NY 10314-6307 · Phone (347) 322-9267

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jerisan Jeganathan Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850899915
PECOS Enrollment IDI20250808001658
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GABRIELLE PATRICE HUTCHESON DPM
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
JONATHAN EDELSTIEN DPM
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
NICHOLAS DESAI CRIDER
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
DR. EDUARDO GLASS DPM
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
MICHAEL JOHN STAS DPM
Podiatrist (Foot & Ankle Surgery)
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
OLUFUNKE BURAIMOH DPM
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
ZAKIYYAH WATERS DPM
Podiatrist (Foot & Ankle Surgery)
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
SARA EL BASHIR DPM
Podiatrist (Foot & Ankle Surgery)
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111

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 Jerisan Jeganathan's NPI number?

The NPI number for Jerisan Jeganathan is 1376282319. It was assigned to this individual provider in the NPPES registry on May 28, 2022.

Where is Jerisan Jeganathan located?

Jerisan Jeganathan practices at 510 Hamburg Tpke Ste 108, Wayne, NJ 07470. The listed phone number is (973) 925-4111.

What is Jerisan Jeganathan's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Jerisan Jeganathan enrolled in Medicare?

Yes. Jerisan Jeganathan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jerisan Jeganathan was last updated on July 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.