Individual provider Active NPI

Donna Marie Barrese, DPM

  • Podiatrist
  • Lawrenceville, NJ
National Provider Identifier
1063400307
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00209300 Issued in NJ
Practice address
2633 Main St Ste 202
Lawrenceville, NJ 08648-1086
Phone
(609) 512-1126
Fax
(609) 512-1639
NPI assigned
Oct 11, 2005
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00209300 NJ Primary
Podiatrist 213E00000X MD002093 NJ

Addresses

Primary practice location

2633 Main St Ste 202
Lawrenceville, NJ 08648-1086

Mailing address

PO Box 6566
Lawrence Township, NJ 08648-0566
Phone (609) 512-1126

Other names 1

  • Dr. Donna Marie Barrese Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00209300NJMDPodiatrist
MD002093NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Foot and Ankle Associates Podiatrist Past Accepting new patients
Princeton Foot and Ankle Associates Podiatrist Past Accepting new patients
Surgical Specialists at Princeton LLC PastSince Nov 1, 2010 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17315/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1063400307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6566",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086480566",
            "telephone_number": "609-512-1126",
            "fax_number": "609-512-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 MAIN ST STE 202",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481086",
            "telephone_number": "609-512-1126",
            "fax_number": "609-512-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRESE",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00209300",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "BARRESE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.