Jerisan Jeganathan, DPM
Podiatrist in Wayne, New Jersey
1376282319- Practice location
- 510 Hamburg Tpke Ste 108, Wayne, NJ 07470-2033
- Phone
- 973-925-4111
- Fax
- —
- Last updated
- July 25, 2025
Jerisan Jeganathan is a Podiatrist based in Wayne, NJ. Jerisan Jeganathan practices in Wayne, NJ and has the professional credentials of DPM. The NPI Number for Jerisan Jeganathan is 1376282319 and holds a License No. 25MD00388700 (NJ). The current practice location address for Jerisan Jeganathan is 510 Hamburg Tpke Ste 108, Wayne, NJ 07470-2033 and can be reached out via phone at 973-925-4111.
Provider Profile Details
- NPI Number
- 1376282319
- Provider Name
- Jerisan Jeganathan
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 510 Hamburg Tpke Ste 108, Wayne, NJ 07470-2033
- Phone Number
- 973-925-4111
- Primary Taxonomy
- Podiatrist · 213E00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 28, 2022
- Last Update Date
- July 25, 2025
- Certification Date
- July 25, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2033 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-2033
- Phone Number
- 973-925-4111
Provider Business Mailing Address Details
- Address
- 510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2033 - City
- Wayne
- State
- NJ
- Zip
- 07470-2033
- Phone Number
- 973-925-4111
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MD00388700
- License State (2)
- NJ
- Taxonomy (2)
- Podiatrist · 213E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Podiatrists near Wayne, NJ
View all Podiatrists in Wayne →Frequently Asked Questions
What is the NPI number of Jerisan Jeganathan, DPM?
The NPI number of Jerisan Jeganathan, DPM is 1376282319. It was assigned on May 28, 2022 and is currently active in the NPPES registry.
What is the specialty of Jerisan Jeganathan, DPM?
Jerisan Jeganathan, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00388700.
Where does Jerisan Jeganathan, DPM practice?
The practice location is 510 Hamburg Tpke Ste 108, Wayne, NJ 07470-2033. The office can be reached at 973-925-4111 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376282319 directly on the NPPES registry website.