Individual provider Active NPI

Johnny Dong, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bridgewater, NJ
National Provider Identifier
1023691516
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00378700 Issued in NJ
Practice address
9 Monroe St
Bridgewater, NJ 08807-3043
Phone
(908) 231-1114
NPI assigned
May 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00378700 NJ Primary

Addresses

Primary practice location

9 Monroe St
Bridgewater, NJ 08807-3043

Mailing address

18 Noel Ave
Edison, NJ 08817-2434
Phone (732) 754-2774

Other practice location 1

18 Noel Ave
Edison, NJ 08817-2434
Phone (732) 754-2774

Other practice location 2

218 Ridgedale Ave Ste 101
Cedar Knolls, NJ 07927-2109
Phone (973) 538-7700

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
I20240715002843 NJ Practitioner - Podiatry 3678018694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Foot and Ankle LLCGroup PAC ID 5193011708, 3 clinicians

Practice addresses (Care Compare)

9 Monroe St
Bridgewater, NJ 08807-3043
Phone (908) 231-1114

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue100
Removal of skin lesions1-10
Removal of nail tissue43
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Aug 1, 2025 Accepting new patients
Consensus Medical Group LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

9 Monroe St
Bridgewater, NJ 08807
Phone (908) 231-1114

218 Ridgedale Ave
Ste 101
Cedar Knolls, NJ 07927
Phone (973) 285-1700

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

Interoperability endpoints

  • Direct secure messaging: jdong534553@direct.ahsys.org

Organizations & group practices 2

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.

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1023691516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NOEL AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172434",
            "telephone_number": "732-754-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073043",
            "telephone_number": "908-231-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Noel Ave",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088172434",
            "country_code": "US",
            "telephone_number": "732-754-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Ridgedale Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "079272109",
            "country_code": "US",
            "telephone_number": "973-538-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONG",
        "first_name": "JOHNNY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": "25MD00378700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.