Individual provider Active NPI

Michael Vincent Verdi, D.P.M.

  • Podiatrist
  • West Orange, NJ
National Provider Identifier
1063559029
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00228100 Issued in NJ
Practice address
1500 Pleasant Valley Way
Suite 204
West Orange, NJ 07052-2956
Phone
(973) 731-1266
Fax
(973) 731-1712
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00228100 NJ Primary

Addresses

Primary practice location

1500 Pleasant Valley Way
Suite 204
West Orange, NJ 07052-2956

Mailing address

1500 Pleasant Valley Way
Suite 204
West Orange, NJ 07052-2956
Phone (973) 731-1266

Other identifiers 1

IdentifierTypeStateIssuer
6582800MedicaidNJ

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
I20101208000850 NJ Practitioner - Podiatry 8426059726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Vincent Verdi DPMGroup PAC ID 8123233517, 5 clinicians

Practice addresses (Care Compare)

1500 Pleasant Valley Way
West Orange, NJ 07052-2956
Phone (973) 731-1266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue189
Removal of skin lesions417
Removal of nail tissue790
Removal or shaving of skin growth42
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00228100NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Podiatrist CurrentSince Nov 15, 2024 Accepting new patients
Michael Vincent Verdi DPM Podiatrist CurrentSince Jun 16, 2013 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Podiatrist CurrentSince Nov 15, 2024 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Podiatrist Past Accepting new patients

Locations

4633 US Highway 9
Howell, NJ 07731
Phone (732) 994-5333

85 S Jefferson St
Ste 2
Orange, NJ 07050
Phone (732) 994-5333

1500 Pleasant Valley Way
Ste 204
West Orange, NJ 07052
Phone (923) 731-1266

1500 Pleasant Valley Way
#2
West Orange, NJ 07052
Phone (973) 669-9797

Interoperability endpoints

  • Direct secure messaging: mverdi00@foothealth.md.direct-ci.com
  • Direct secure messaging: michaelv@fhcl-nj.direct.office.nextgen.com

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 and National Provider Directory roles.

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1063559029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 204",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-731-1266",
            "fax_number": "973-731-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 204",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-731-1266",
            "fax_number": "973-731-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDI",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00228100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6582800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.