MEDICARE: OCEAN COUNTY FOOT & ANKLE SURGICAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1235016122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN COUNTY FOOT & ANKLE SURGICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 825159
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-5159
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2159 ROUTE 88 E
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-3232
Country	:	US
Telephone Number	:	732-899-0015
Fax Number	:	732-899-0061

Authorized Official
Title or Position	:	OWNER
Name	:	GENE MIRKIN
Credential	:	DPM
Telephone Number	:	410-266-7575

Provider Enumeration Date	:	08/20/2025
Last Update Date	:	09/05/2025

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