Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERISAN JEGANATHAN, DPM
Active Sole ProprietorJERISAN JEGANATHAN, DPM is a Podiatrist healthcare provider located in WAYNE, New Jersey. NPI 1376282319 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · WAYNE, NJ
Registration Details
- NPI Number
- 1376282319
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2022 (4.2066975917729 yrs)
- Last Updated
- Jul 25, 2025
- License
-
25MD00388700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
510 HAMBURG TPKE STE 108WAYNE, NJ, 074702033Browse NJ providers · Browse ZIP 07470
- Phone
- 9739254111
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
Other Podiatrist Providers in WAYNE, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL THOMAS STAUNTON | DPM | 1104886225 |
| DR. RUSSELL SAMOFAL | D.P.M. | 1982968517 |
| DOLAN KUMAR CHOWDHURY | DPM | 1912262734 |
| HERBERT DAVID JANOW | DPM | 1467795823 |
| JADE SEGUIN-RICHARD | DPM | 1467977819 |
| OLUFUNKE BURAIMOH | DPM | 1336631076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.