Individual
JASON D LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2159 ROUTE 88 E, BRICK, NJ 08724-3232
(732) 899-0015
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00247600
NJ
213E00000X
Podiatrist
MD002476
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD002476
NJ
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00247600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088552
HORIZON NJ HEALTH
NJ
01
—
2K5453
HEALTHNET
NJ
05
—
9112600
—
NJ
01
—
P00139128
RAILROAD
NJ
01
—
P1134870
OXFORD
NJ
Enumeration date
03/08/2006
Last updated
01/12/2026
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