IndividualActive
Jason Larson, D.P.M.
NPI 1215905203 · Foot Surgery Podiatrist · Brick, NJ
Provider details
- NPI number
- 1215905203
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MD00247600 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
2159 Route 88 E
Brick, NJ 08724-3232
Phone: (732) 899-0015
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 825159
Philadelphia, PA 19182-5159
Additional practice locations (1)
- 2399 Nj 34, Bldg A6Manasquan, NJ 08736Phone: (732) 528-8223
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.