Individual provider Active NPI

Jacques Tran, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cherry Hill, NJ
National Provider Identifier
1023677366
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00370100 Issued in NJ
Practice address
496 Kings Hwy N Ste 210
Cherry Hill, NJ 08034-1015
Phone
(856) 667-8222
Fax
(856) 667-9739
NPI assigned
Jun 11, 2019
Reactivated
Sep 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 0 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00370100 NJ Primary

Addresses

Primary practice location

496 Kings Hwy N Ste 210
Cherry Hill, NJ 08034-1015

Mailing address

496 Kings Hwy N Ste 210
Cherry Hill, NJ 08034-1015
Phone (856) 667-8222

Other practice location 1

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (267) 280-7222

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
I20221014002945 NJ Practitioner - Podiatry 0840666806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot and Ankle Center of South JerseyGroup PAC ID 1355392028, 2 clinicians

Practice addresses (Care Compare)

496 Kings Hwy N
Suite 210
Cherry Hill, NJ 08034-1002
Phone (856) 667-8222

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of nail tissue434
Removal or shaving of skin growth239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00370100NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot and Ankle Center of South Jersey Foot & Ankle Surgery CurrentSince Aug 12, 2022 Accepting new patients

Locations

496 Kings Hwy N
Ste 210
Cherry Hill, NJ 08034
Phone (856) 667-8222

92 Brick Rd
Marlton, NJ 08053
Phone (856) 988-4124

1086 Dumont Cir
Voorhees, NJ 08043
Phone (201) 484-8950

Organizations & group practices 1

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1023677366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 KINGS HWY N STE 210",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341015",
            "telephone_number": "856-667-8222",
            "fax_number": "856-667-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 KINGS HWY N STE 210",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341015",
            "telephone_number": "856-667-8222",
            "fax_number": "856-667-9739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841327",
            "country_code": "US",
            "telephone_number": "267-280-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JACQUES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "deactivation_date": "2019-06-11",
        "reactivation_date": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NJ",
            "license": "0",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00370100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.