JERSEY SHORE PODIATRIC ASSOCIATES
NPI 1376575993
Podiatrist - Foot & Ankle Surgery in Sea Girt, NJ
About Jersey Shore Podiatric Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERSEY SHORE PODIATRIC ASSOCIATES (NPI 1376575993) is a healthcare organization registered as a foot & ankle surgery in Sea Girt, New Jersey and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Point Pleasant Boro and lists Gene S Mirkin, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jersey Shore Podiatric Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Jersey Shore Podiatric Associates, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Sea Girt, NJ 08750
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 Jersey Shore Podiatric Associates's NPI number?
The NPI number for Jersey Shore Podiatric Associates is 1376575993. It was assigned to this organization in the NPPES registry on July 6, 2006.
Where is Jersey Shore Podiatric Associates located?
Jersey Shore Podiatric Associates is located at 2130 Highway 35 Bldg C Ste 312, Sea Girt, NJ 08750. The listed phone number is (732) 974-8200.
What is Jersey Shore Podiatric Associates's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Jersey Shore Podiatric Associates enrolled in Medicare?
Yes. Jersey Shore Podiatric Associates is registered in the Medicare PECOS enrollment system.
When is Jersey Shore Podiatric Associates's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jersey Shore Podiatric Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Jersey Shore Podiatric Associates. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jersey Shore Podiatric Associates was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Jersey Shore Podiatric Associates · NPI 1376575993
Foot & Ankle Surgery organization in Sea Girt, New Jersey. Organization record, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1376575993 (Entity type: Organization)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Gene Mirkin, OWNER/PRESIDENT
## Practice location
- **Address:** 2130 HIGHWAY 35, BLDG C STE 312, Sea Girt, NJ 08750-1010
- **Phone:** (732) 974-8200 · **Fax:** (732) 974-0190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2025
- **Other identifiers:** Medicaid 1130013 (NJ)
---
Source: [NPI Profile](https://npiprofile.com/npi/1376575993) · Data from the CMS NPPES public registry.