DR. KENNETH G INDAHL DPM
NPI 1780652644
Podiatrist in Manasquan, NJ

Active since March 08, 2006
2399 HIGHWAY 34, SUITE A-6, MANASQUAN, NJ 08736(732) 528-8223(732) 528-7057 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth G Indahl Dpm NPPES

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

DR. KENNETH G INDAHL DPM (NPI 1780652644) is an individual podiatrist in Manasquan, New Jersey, licensed in New Jersey (25MD00100900) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1780652644
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. KENNETH G INDAHLCredential: DPM
Location Address2399 HIGHWAY 34, SUITE A-6Manasquan, NJ 08736-1500
Mailing Address2399 Highway 34, Suite A-6Manasquan, NJ 08736-1500 · (732) 528-8223 · Fax (732) 528-7057
Fax(732) 528-7057
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateJanuary 30, 2012
NPI 1780652644 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 · 25MD00100900
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 ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 25MD00100900 (NJ)
2399 HIGHWAY 34, Manasquan, NJ 08736

Other Identifiers 4

Medicaid0599301NJ
Medicare UPINT50807NJ
Medicare NSC6112550001NJ
Medicare PIN025228XYWNJ

Other Providers at the Same Location NPPES 5

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

Plastic Surgery
2399 HIGHWAY 34, UNIT A, SUITE A2
MANASQUAN, NJ 08736
Home Health
2399 HIGHWAY 34, UNIT A, SUITE A-6
MANASQUAN, NJ 08736
Radiology (Diagnostic Radiology)
2399 HIGHWAY 34, UNIT B
MANASQUAN, NJ 08736
Radiology (Diagnostic Radiology)
2399 HIGHWAY 34, UNIT B
MANASQUAN, NJ 08736
Podiatrist (Foot & Ankle Surgery)
2399 HIGHWAY 34, SUITE A6
MANASQUAN, NJ 08736

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 Kenneth Indahl's NPI number?

The NPI number for Kenneth Indahl is 1780652644. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Kenneth Indahl located?

Kenneth Indahl practices at 2399 Highway 34 Suite A-6, Manasquan, NJ 08736. The listed phone number is (732) 528-8223.

What is Kenneth Indahl's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Indahl was last updated on January 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.