Individual provider Active NPI

Annie Zeb, DPM

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1023454618
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00332300 Issued in NJ
Practice address
475 Seaview Ave
Staten Island, NY 10305-3436
Phone
(862) 812-8767
NPI assigned
May 22, 2013
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00332300 NJ Primary
Podiatrist 213E00000X 006794 NY

Addresses

Primary practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Mailing address

519B Liberty Ave
Staten Island, NY 10305-3305
Phone (862) 812-8767

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
I20180122001552 NJ Practitioner - Podiatry 7618265141 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pedirite Medical NJ LLCGroup PAC ID 1052743184, 14 clinicians

Practice addresses (Care Compare)

103 Pleasant Valley Way
West Orange, NJ 07052-2905
Phone (212) 734-6621

28 Washington St
Columbia, NJ 07832-2324
Phone (212) 764-0008

290 Red School LN
Phillipsburg, NJ 08865-2276
Phone (212) 764-0008

G12 Brier Hill CT
East Brunswick, NJ 08816-3338
Phone (732) 432-7250

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 tissue1-10
Removal of nail tissue2804
Removal or shaving of skin growth860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006794NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Jan 1, 2018 Accepting new patients
Complete Foot and Ankle Specialty LLC Podiatrist CurrentSince Aug 1, 2023 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jan 1, 2018 Accepting new patients
Complete Foot and Ankle Specialty LLC Podiatrist CurrentSince Aug 1, 2023 Accepting new patients
Pedirite Medical NJ LLC Podiatrist CurrentSince Sep 1, 2025 Accepting new patients

Locations

1700 Wynwood Dr
Cinnaminson, NJ 08077
Phone (215) 336-4869

G12 Brier Hill Ct
East Brunswick, NJ 08816
Phone (732) 432-7250

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

324 Palisade Ave
Fl 2
Jersey City, NJ 07307
Phone (201) 386-1400

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Interoperability endpoints

  • Direct secure messaging: annie.zeb@cfaas-nj.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1023454618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519B LIBERTY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053305",
            "telephone_number": "862-812-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "862-812-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEB",
        "first_name": "ANNIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00332300",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.