Individual provider Active NPI

Manooj Prasad, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, NJ
National Provider Identifier
1013107184
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00292900 Issued in NJ
Practice address
637 River Ave
Suite B
Lakewood, NJ 08701-5227
Phone
(732) 987-9950
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00292900 NJ Primary

Addresses

Primary practice location

637 River Ave
Suite B
Lakewood, NJ 08701-5227

Mailing address

637 River Ave
Suite B
Lakewood, NJ 08701-5227
Phone (732) 987-9950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000214 NJ Practitioner - PodiatryPractitioner - Vascular SurgeryPractitioner - Orthopedic SurgeryPractitioner - General Surgery 7416042700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: General Surgery, Orthopedic Surgery, Vascular Surgery
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Hospital Dr
Toms River, NJ 08755-6434
Phone (732) 557-9900

664 Commons Way
BLDG I
Toms River, NJ 08755-6431
Phone (732) 557-9900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1038
Removal of skin lesions1-10
Removal of nail tissue78
Removal or shaving of skin growth21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00292900NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Manooj Prasad DPM LLC Foot & Ankle Surgery CurrentSince Sep 14, 2014 Accepting new patients
Garden State Foot & Ankle Group, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2007 Accepting new patients
Krystin Prasad LLC CurrentSince Jun 18, 2023 Accepting new patients
International Id Associates LLC PastSince May 29, 2018 Accepting new patients
Clara Maass Medical Center Past Accepting new patients

Locations

637 River Ave
#B
Lakewood, NJ 08701
Phone (732) 987-9950

20 Hospital Dr
Ste 9
Toms River, NJ 08755
Phone (732) 341-1380

664 Commons Way
Bldg 1
Toms River, NJ 08755
Phone (732) 557-9900

664 Commons Way
Bldg I
Toms River, NJ 08755
Phone (732) 557-9900

Interoperability endpoints

  • Direct secure messaging: manooj.prasad@bayoumimedical.chartmakerdirect.com
  • Direct secure messaging: manooj.prasad@gardenstatefootandanklegroup.chartmakerdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1013107184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 RIVER AVE",
            "address_2": "SUITE B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015227",
            "telephone_number": "732-987-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 RIVER AVE",
            "address_2": "SUITE B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015227",
            "telephone_number": "732-987-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "MANOOJ",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00292900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.