Individual provider Active NPI

Joseph Signorile

  • Podiatrist
  • Jackson, NJ
National Provider Identifier
1033181730
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD00271500 Issued in NJ
Practice address
12 Fox Hollow Dr
Jackson, NJ 08527-4765
Phone
(908) 755-4200
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD00271500 NJ Primary

Addresses

Primary practice location

12 Fox Hollow Dr
Jackson, NJ 08527-4765

Mailing address

12 Fox Hollow Drive
Jachson, NJ 07080

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
I20101021001007 NJ Practitioner - Podiatry 4981818010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Brookfield Dr
Jackson, NJ 08527-3897
Phone (908) 755-4200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue476
Removal or shaving of skin growth371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD00271500NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Signorile PC Podiatrist CurrentSince Aug 12, 2002 Accepting new patients

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1033181730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FOX HOLLOW DRIVE",
            "city": "JACHSON",
            "state": "NJ",
            "postal_code": "07080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FOX HOLLOW DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274765",
            "telephone_number": "908-755-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGNORILE",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD00271500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.