Provider Demographics
NPI:1073300539
Name:SHORE FOOTED LLC
Entity type:Organization
Organization Name:SHORE FOOTED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:OFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:908-907-2858
Mailing Address - Street 1:2307 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-1701
Mailing Address - Country:US
Mailing Address - Phone:908-907-2858
Mailing Address - Fax:
Practice Address - Street 1:2307 3RD AVE
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-1701
Practice Address - Country:US
Practice Address - Phone:908-907-2858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty