Cheryl Wisniewski, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

25MD00296900 Issued in NJ

Practice address

722 Mantua Pike
Suite 8
Woodbury Heights, NJ 08097-1141

Phone

(856) 384-1333

Fax

(856) 384-1297

NPI assigned

Jun 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

Temple University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Foot and Ankle Specialists of NJ LLCGroup PAC ID 0547623332, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6a316867-5684-4988-b95c-94ce28d46d1f/

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.

• Integrated Foot and Ankle Specialists of NJ LLC

  • Foot & Ankle Surgery Podiatrist
  • Marlton, NJ
  • NPI 1679284285
  Medicare reassignment Care Compare group NPD
• Paul S. Demarco, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Somers Point, NJ
  • NPI 1336200799
  Medicare reassignment NPD
• Integrated Foot and Ankle Specialists of NJ LLC

  • Podiatric Clinic/Center
  • Cherry Hill, NJ
  • NPI 1851197545
  NPD
• Integrated Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Marlton, NJ
  • NPI 1275286940
  NPD (past)

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214092800000",
    "number": "1063673036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 MANTUA PIKE",
            "address_2": "SUITE 8",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971141",
            "telephone_number": "856-384-1333",
            "fax_number": "856-384-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 MANTUA PIKE",
            "address_2": "SUITE 8",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971141",
            "telephone_number": "856-384-1333",
            "fax_number": "856-384-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2008-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00296900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wounded Healer, Inc. D/B/a My Friends House Family Counseling Serv
• The Wounded Healer, Inc. D/B/a My Friends House Family Counseling Serv
• Tara M Tomasso, M.D.
• Kathleen A Trow, CRNP
• Westwood Oral Surgery Associates PA
• Wissahickon Hospice of Uphs
• Woodbury Foot Care Centre LLC
• Woodbury Pediatrics
• Woodbury Pediatrics, LLC
• Lauren Wynne, APN

• Foot Surgery Podiatrist in Woodbury Heights, NJ
• Providers in Woodbury Heights, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.