Individual provider Active NPI

Robert A. Alworth, DPM

  • Foot & Ankle Surgery Podiatrist
  • Point Pleasant Boro, NJ
National Provider Identifier
1033279138
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00157700 Issued in NJ
Practice address
1115 Arnold Ave
Point Pleasant Boro, NJ 08742-2312
Phone
(732) 892-2100
Fax
(732) 892-2111
NPI assigned
Dec 11, 2006
Last updated
May 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X 25MD00157700 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00157700 NJ Primary

Addresses

Primary practice location

1115 Arnold Ave
Point Pleasant Boro, NJ 08742-2312

Mailing address

1115 Arnold Ave
Point Pleasant Boro, NJ 08742-2312
Phone (732) 892-2100

Other identifiers 1

IdentifierTypeStateIssuer
1923307MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140215000117 TN Order and Referring Only - PodiatryPractitioner - Podiatry 3577607183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00157700NJMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Alworth DPM PastSince Jan 1, 1990 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, 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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1033279138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422312",
            "telephone_number": "732-892-2100",
            "fax_number": "732-892-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422312",
            "telephone_number": "732-892-2100",
            "fax_number": "732-892-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWORTH",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NJ",
            "license": "25MD00157700",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00157700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1923307",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

Verify at the official NPI Registry.