Organization
JERSEY SHORE PODIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD R GRESKIWCZ (CREDENTIALING)
(314) 909-1920
Entity
Organization
Contact information
Practice address
2911 ROUTE 88 STE 3, PT PLEASANT, NJ 08742-2871
(732) 892-2100
(732) 892-2111
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(732) 892-2100
(732) 892-2111
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332BC3200X
Customized Equipment (DME)
25MD00282000
NJ
Other
Enumeration date
06/24/2011
Last updated
11/04/2025
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