Active NPI
Dariusz Jasinski, DPM
- Foot & Ankle Surgery Podiatrist
- Pequannock, NJ
National Provider Identifier
1013995182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00280100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 61 |
| Removal of nail tissue | 298 |
| Removal or shaving of skin growth | 801 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00280100 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Foot & Ankle Surgery Podiatrist
- Elmwood Park, NJ
- NPI 1437106689
-
- Rehabilitation Clinic/Center
- Madison, NJ
- NPI 1952240822
-
- Registered Dietitian
- Hoboken, NJ
- NPI 1861670671
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.