Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerisan Jeganathan, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376282319

Jerisan Jeganathan, DPM is a Podiatry in Wayne, New Jersey. Graduated from Temple University School of Podiatric Medicine in 2022, 4 years ago. Practices with Podiatry Center of New Jersey LLC, a 15-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Trained at
Temple University School of Podiatric Medicine
Licensed in
NJ
In the registry since
2022
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2033
Phone: (973) 925-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Healthy Way, Oceanside, NY 11572-1551 — (516) 632-3000
  • 35 Pilcher St, Staten Island, NY 10314-6307 — (347) 322-9267

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 25MD00388700 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376282319
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 28, 2022
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address510 Hamburg Tpke Ste 108, Wayne, NJ 07470-2033

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Podiatry Center Of New Jersey Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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