Individual provider Active NPI

Joan M. Jerrido, DPM

  • Podiatrist
  • Sewell, NJ
National Provider Identifier
1043442593
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00300100 Issued in NJ
Practice address
2 Plaza Dr
Sewell, NJ 08080-9207
Phone
(856) 270-4030
Fax
(856) 270-4044
NPI assigned
Aug 18, 2009
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00300100 NJ Primary

Addresses

Primary practice location

2 Plaza Dr
Sewell, NJ 08080-9207

Mailing address

1 Federal St
Ste Sw200
Camden, NJ 08103-1155
Phone (856) 356-4924

Other identifiers 1

IdentifierTypeStateIssuer
25MD00300100OtherNJLICENSE

Other names 1

  • Joan Marie Carver Former name

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
I20091125000261 NJ Practitioner - Podiatry 2163561523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

2 Plaza Dr
Suite 201
Sewell, NJ 08080-9207
Phone 85627041001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.23 of 100Reported as group
Quality
77.64
Promoting interoperability
98
Improvement activities
40
Cost
68.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions1-10
Removal of nail tissue289
Removal or shaving of skin growth90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00300100NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Surgical Associates, PA Podiatrist CurrentSince Oct 14, 2009 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Oct 14, 2009 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2270

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

2 Plaza Dr
Sewell, NJ 08080
Phone (856) 270-4150

2 Plaza Dr
Ste 201
Sewell, NJ 08080
Phone 85627041001

6017 Main St
Voorhees, NJ 08043
Phone (856) 325-6767

900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535

900 Centennial Blvd
Ste 203
Voorhees, NJ 08043
Phone (856) 325-6674

Interoperability endpoints

  • Direct secure messaging: jcarver859@direct.cooperhealth.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1043442593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST",
            "address_2": "STE SW200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PLAZA DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809207",
            "telephone_number": "856-270-4030",
            "fax_number": "856-270-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERRIDO",
        "first_name": "JOAN",
        "middle_name": "M.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00300100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MD00300100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "CARVER",
            "middle_name": "MARIE",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.