Individual provider Active NPI

Eric M Deutchman, DPM

  • Podiatrist
  • Linden, NJ
National Provider Identifier
1053496398
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD001314NJ Issued in NJ
Practice address
706 West Saint George Avenue
Linden, NJ 07036-5648
Phone
(908) 715-4825
NPI assigned
Oct 26, 2006
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD001314NJ NJ Primary

Addresses

Primary practice location

706 West Saint George Avenue
Linden, NJ 07036-5648

Mailing address

706 West Saint George Avenue
Linden, NJ 07036-5648
Phone (908) 715-4825

Other identifiers 1

IdentifierTypeStateIssuer
480022356OtherNJRAILROAD MEDICARE

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
I20080430000001 NJ Practitioner - Podiatry 8820177066 Practice locations: Linden, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

706 W Saint George Ave
Linden, NJ 07036

706 W Saint George Ave
Linden, NJ 07036-5648
Phone (908) 486-3338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD001314NJNJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric M Deutchman, D.P.M. Podiatrist 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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1053496398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 WEST SAINT GEORGE AVENUE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365648",
            "telephone_number": "908-715-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 WEST SAINT GEORGE AVENUE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365648",
            "telephone_number": "908-715-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTCHMAN",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD001314NJ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480022356",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.