Individual provider Active NPI

Douglas N Delorenzo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Kendall Park, NJ
National Provider Identifier
1093898975
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD002204 Issued in NJ
Practice address
3228 State Route 27
Suite 1B
Kendall Park, NJ 08824-1524
Phone
(732) 297-3002
Fax
(732) 297-3004
NPI assigned
Oct 23, 2006
Last updated
Jul 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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 MD002204 NJ Primary

Addresses

Primary practice location

3228 State Route 27
Suite 1B
Kendall Park, NJ 08824-1524

Mailing address

3228 RT. 27
Suite 1B
Kendall Park, NJ 08824
Phone (732) 297-3002

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
I20110325000789 NJ Practitioner - Podiatry 9537282215 Reassigns benefits to 3 organizations
Practice locations: Kendall Park, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
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
204 Foot Health Center LLC
West Orange, NJ 07052-2956
Phone (973) 731-1266

3228 State Route 27
Kendall Park, NJ 08824-1524
Phone (732) 297-3002

7 Chase Rd
Lumberton, NJ 08048-6203
Phone (856) 764-4400

719 N Beers St
Suite 2a Douglas N. Delorenzo DPM
Holmdel, NJ 07733-1523
Phone (732) 739-3230

85 S Jefferson St
Suite 2 Morris Podiatry Associates PA
Orange, NJ 07050-1562
Phone (973) 678-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue134
Removal of skin lesions252
Removal of nail tissue1276
Removal or shaving of skin growth590
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD002204NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Podiatric Physicians & Surgeons Group, LLC CurrentSince Nov 15, 2024 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Foot & Ankle Surgery CurrentSince Nov 15, 2024 Accepting new patients
Michael Vincent Verdi DPM Foot & Ankle Surgery CurrentSince Aug 1, 2015 Accepting new patients
Douglas N. Delorenzo DPM LLC Foot & Ankle Surgery CurrentSince Feb 1, 2024 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

719 N Beers St
Ste 2A
Holmdel, NJ 07733
Phone (732) 739-3230

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

3228 State Route 27
Ste 1B
Kendall Park, NJ 08824
Phone (732) 297-3002

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

Interoperability endpoints

  • Direct secure messaging: ddelorenzo@foothealth.md.direct-ci.com
  • Direct secure messaging: dougd@fhcl-nj.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1093898975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 RT. 27",
            "address_2": "SUITE 1B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-297-3002",
            "fax_number": "732-297-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 STATE ROUTE 27",
            "address_2": "SUITE 1B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241524",
            "telephone_number": "732-297-3002",
            "fax_number": "732-297-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORENZO",
        "first_name": "DOUGLAS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD002204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

Verify at the official NPI Registry.