Individual provider Active NPI

Abigail Marie Gumpper, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sewell, NJ
National Provider Identifier
1114586385
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00369100 Issued in NJ
Practice address
100 Kings Way E Ste D6
Sewell, NJ 08080-2238
Phone
(856) 582-6082
Fax
(856) 582-6082
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00369100 NJ Primary

Addresses

Primary practice location

100 Kings Way E Ste D6
Sewell, NJ 08080-2238

Mailing address

2515 S 3Rd St
Philadelphia, PA 19148-4738
Phone (215) 882-0757

Other practice location 1

525 Route 73 S Ste 304
Marlton, NJ 08053-9644
Phone (856) 582-6082

Other practice location 2

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (215) 882-0757

Other practice location 3

120 Madison Ave Ste E
Mount Holly, NJ 08060-2055
Phone (856) 582-6082

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
I20220608000407 NJ Practitioner - Podiatry 2668850389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Foot and AnkleGroup PAC ID 1254624869, 10 clinicians

Practice addresses (Care Compare)

401 Kings Hwy S
Suite 2C
Cherry Hill, NJ 08034-2500
Phone (856) 582-6082

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of nail tissue398
Removal or shaving of skin growth165
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00369100NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Foot & Ankle Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients
Cornerstone Foot & Ankle Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients

Locations

401 Kings Hwy S
Ste 2C
Cherry Hill, NJ 08034

707 N Main St
Ste 3
Glassboro, NJ 08028
Phone (856) 347-7007

525 Route 73 S
Ste 304
Marlton, NJ 08053
Phone (609) 983-5144

120 Madison Ave
Ste E
Mount Holly, NJ 08060
Phone (609) 261-1660

264 S Broadway
Pennsville, NJ 08070
Phone (856) 678-6678

100 Kings Way E
Ste D6
Sewell, NJ 08080
Phone (856) 347-4765

Organizations & group practices 2

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1114586385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 S 3RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484738",
            "telephone_number": "215-882-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY E STE D6",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802238",
            "telephone_number": "856-582-6082",
            "fax_number": "856-582-6082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Route 73 S Ste 304",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080539644",
            "country_code": "US",
            "telephone_number": "856-582-6082",
            "fax_number": "856-582-6083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841327",
            "country_code": "US",
            "telephone_number": "215-882-0757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Madison Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602055",
            "country_code": "US",
            "telephone_number": "856-582-6082",
            "fax_number": "856-582-6083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUMPPER",
        "first_name": "ABIGAIL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00369100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.