MANAHAWKIN PODIATRY, LLC
NPI 1689822975
Podiatrist - Foot & Ankle Surgery in Manahawkin, NJ
About Manahawkin Podiatry, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANAHAWKIN PODIATRY, LLC (NPI 1689822975) is a healthcare organization registered as a foot & ankle surgery in Manahawkin, New Jersey and active in the NPI registry since August 2008. The organization lists Mark William Stephens, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 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)
Manahawkin Podiatry, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Manahawkin Podiatry, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Manahawkin Podiatry, LLC's NPI number?
The NPI number for Manahawkin Podiatry, LLC is 1689822975. It was assigned to this organization in the NPPES registry on August 29, 2008.
Where is Manahawkin Podiatry, LLC located?
Manahawkin Podiatry, LLC is located at 102 E Bay Ave Suite H, Manahawkin, NJ 08050. The listed phone number is (609) 978-2950.
What is Manahawkin Podiatry, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Manahawkin Podiatry, LLC enrolled in Medicare?
Yes. Manahawkin Podiatry, LLC is registered in the Medicare PECOS enrollment system.
When is Manahawkin Podiatry, LLC'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 January 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 Manahawkin Podiatry, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Manahawkin 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 Manahawkin Podiatry, LLC was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Manahawkin Podiatry, Llc · NPI 1689822975
Foot & Ankle Surgery organization in Manahawkin, New Jersey. Organization record, active in the CMS NPPES registry since August 29, 2008.
## Identity
- **NPI:** 1689822975 (Entity type: Organization)
- **Enumerated:** August 29, 2008
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Mark Stephens, PODIATRIST
## Practice location
- **Address:** 102 E BAY AVE, SUITE H, Manahawkin, NJ 08050-3175
- **Phone:** (609) 978-2950 · **Fax:** (609) 978-2961
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2011
- **Other identifiers:** Medicare UPIN U22900; Medicare NSC 6490560001 (NJ); Medicare PIN 694837 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1689822975) · Data from the CMS NPPES public registry.