Debenedictis & Testa, DPM, PA

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

213ES0131X Issued in NJ

Legal business name

DEBENEDICTIS & TESTA, DPM, PA

Practice address

4808 Bergenline Ave
Suite 202
Union City, NJ 07087-5162

Phone

(201) 863-0036

Fax

(201) 863-0727

NPI assigned

Dec 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carolina Vila

Title

Clinical Manager

Phone

(201) 863-0036

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DeBenedictis & Testa , DPM, PA Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Portela, DPM

  • Foot Surgery Podiatrist
  • Union City, NJ
  • NPI 1104894054
  Medicare reassignment Care Compare group NPD
• Thomas Henry Debenedictis, DPM

  • Foot Surgery Podiatrist
  • Union City, NJ
  • NPI 1194792366
  Medicare reassignment Care Compare group
• Danilo O Cabusas, P.T.

  • Physical Therapist
  • Cliffside Park, NJ
  • NPI 1356536106
  NPD (past)
• Astaire Perez, PT, DPT

  • Specialist
  • Berkeley Heights, NJ
  • NPI 1447226246
  NPD (past)
• Paula D Petrosino, DPM

  • Podiatrist
  • Hasbrouck Heights, NJ
  • NPI 1811045164
  NPD (past)
• Blanca T. Diaz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Orlando, FL
  • NPI 1548498702
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1013076256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 BERGENLINE AVE",
            "address_2": "SUITE 202",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875172",
            "telephone_number": "201-863-0036",
            "fax_number": "201-863-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 BERGENLINE AVE",
            "address_2": "SUITE 202",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875162",
            "telephone_number": "201-863-0036",
            "fax_number": "201-863-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBENEDICTIS & TESTA, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "VILA",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "201-863-0036",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "213ES0131X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3354601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeBenedictis & Testa , DPM, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Marie Daub, MD
• Kirti Dave
• Mark Monir Dawoud, D.C.
• Darleen Dawson
• Cecille De Los Angeles, PT
• Thomas Henry Debenedictis, DPM
• Michelle Deen, LSW
• Deepak Amin, M.D., LLC
• Dana Degennaro
• Rene Dehombre, RPH

• Foot Surgery Podiatrist in Union City, NJ
• Providers in Union City, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.