JERSEY SHORE FOOT AND LEG CENTER PC
NPI 1629022306
Podiatrist - Foot & Ankle Surgery in Bayville, NJ

Active since May 19, 2006
355 ROUTE 9, SUITE 1, BAYVILLE, NJ 08721(732) 269-1133(732) 269-7675 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jersey Shore Foot And Leg Center Pc NPPES

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

JERSEY SHORE FOOT AND LEG CENTER PC (NPI 1629022306) is a healthcare organization registered as a foot & ankle surgery in Bayville, New Jersey and active in the NPI registry since May 2006. The organization lists Michael George Kachmar, Dpm, as its authorized official.

NPPES Registry Identity

NPI1629022306
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJERSEY SHORE FOOT AND LEG CENTER PC
Location Address355 ROUTE 9, SUITE 1Bayville, NJ 08721-1292
Mailing Address355 Route 9, Suite 1Bayville, NJ 08721-1292 · (732) 269-1133 · Fax (732) 269-7675
Fax(732) 269-7675
Organization SubpartNo
Authorized OfficialMichael George KachmarDpm · (732) 269-1133
Enumeration DateMay 19, 2006
Last NPPES UpdateSeptember 27, 2012
✔ NPI 1629022306 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
License✔ Licensed in NJ · 25MD00154800
355 ROUTE 9, Bayville, NJ 08721

Other Identifiers 2

Medicare ID-Type Unspecified511701NJ
Medicare UPINT45638NJ

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jersey Shore Foot And Leg Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040405000378Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Jersey Shore Foot And Leg Center PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Podiatry
NPI 1366422271
591 LAKEHURST RD
Toms River, NJ 08755
(732) 269-1133
✔ PECOS✔ Accepts Medicare5.6 mi
Podiatry
NPI 1275721946
3000 ESSEX RD
Tinton Falls, NJ 07753
(732) 643-2070
✔ PECOS✔ Accepts Medicare23 mi
Podiatry
NPI 1477520567
10 MAIN ST SUITE E
New Egypt, NJ 08533
(609) 758-8008
✔ PECOS✔ Accepts Medicare23 mi

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 Foot And Leg Center PC's NPI number?

The NPI number for Jersey Shore Foot And Leg Center PC is 1629022306. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Jersey Shore Foot And Leg Center PC located?

Jersey Shore Foot And Leg Center PC is located at 355 Route 9 Suite 1, Bayville, NJ 08721. The listed phone number is (732) 269-1133.

What is Jersey Shore Foot And Leg Center PC's specialty?

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

Is Jersey Shore Foot And Leg Center PC enrolled in Medicare?

Yes. Jersey Shore Foot And Leg Center PC is registered in the Medicare PECOS enrollment system.

When is Jersey Shore Foot And Leg Center PC'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 December 31, 2026. 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 Foot And Leg Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Jersey Shore Foot And Leg Center PC. 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, 1 practice within 10 miles. 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 Foot And Leg Center PC was last updated on September 27, 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.