Provider Demographics
NPI:1275162315
Name:MERCER-OCEAN PODIATRY
Entity Type:Organization
Organization Name:MERCER-OCEAN PODIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KILLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-557-4266
Mailing Address - Street 1:202 ROUTE 37 W STE 4
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8055
Mailing Address - Country:US
Mailing Address - Phone:732-557-4266
Mailing Address - Fax:732-557-5001
Practice Address - Street 1:666 PLAINSBORO RD STE 1050
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3044
Practice Address - Country:US
Practice Address - Phone:609-269-5800
Practice Address - Fax:732-557-4266
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCER-OCEAN PODIATRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-01
Last Update Date:2020-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty