Individual provider Active NPI

Dariusz Jasinski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pequannock, NJ
National Provider Identifier
1013995182
Registry record updated Nov 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00280100 Issued in NJ
Practice address
7 Industrial Road
Suite 203
Pequannock, NJ 07440
Phone
(201) 406-7584
Fax
(973) 696-2433
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2010

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 25MD00280100 NJ Primary

Addresses

Primary practice location

7 Industrial Road
Suite 203
Pequannock, NJ 07440

Mailing address

184 Comly Rd
Lincoln Park, NJ 07035-1104
Phone (201) 406-7584

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000997 NJ Practitioner - Podiatry 4587633219 Practice locations: Woodland Park, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1225 McBride Ave
Woodland Park, NJ 07424-3813
Phone (201) 406-7584

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61
Removal of nail tissue298
Removal or shaving of skin growth801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
25MD00280100NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Foot and Ankle Ctr PA Foot & Ankle Surgery Past Accepting new patients
SLM Nutrition, LLC Past Accepting new patients
Madison Medical and Sports Rehabilitation L.L.C Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290902400000",
    "number": "1013995182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 COMLY RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351104",
            "telephone_number": "201-406-7584",
            "fax_number": "973-696-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDUSTRIAL ROAD",
            "address_2": "SUITE 203",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "07440",
            "telephone_number": "201-406-7584",
            "fax_number": "973-696-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASINSKI",
        "first_name": "DARIUSZ",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00280100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pequannock, NJ

Sources for this page

Verify at the official NPI Registry.