Individual provider Active NPI

Nader Ghobrial, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clifton, NJ
National Provider Identifier
1043717234
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00360500 Issued in NJ
Practice address
1100 Clifton Ave # C
Clifton, NJ 07013-3631
Phone
(973) 777-4650
NPI assigned
Apr 12, 2018
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00360500 NJ Primary

Addresses

Primary practice location

1100 Clifton Ave # C
Clifton, NJ 07013-3631

Mailing address

1100 Clifton Ave # C
Clifton, NJ 07013-3631
Phone (551) 232-2233

Other practice location 1

7 Cedar Grove Ln Ste 28
Somerset, NJ 08873-1331
Phone (732) 412-1282

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
I20210629002207 NJ Practitioner - Podiatry 9638570583

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Foot and Ankle Foot & Ankle Surgery CurrentSince Jul 2, 2022 Accepting new patients
Proactive Foot and Ankle CurrentSince Jul 2, 2022 Accepting new patients

Locations

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

Interoperability endpoints

  • Direct secure messaging: nghobrial492841@ahs.direct-ci.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1043717234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLIFTON AVE # C",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133631",
            "telephone_number": "551-232-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLIFTON AVE # C",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133631",
            "telephone_number": "973-777-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Cedar Grove Ln Ste 28",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088731331",
            "country_code": "US",
            "telephone_number": "732-412-1282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOBRIAL",
        "first_name": "NADER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00360500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.