Individual provider Active NPI

Jyotsna Thapar, DPM

  • Podiatrist
  • South Plainfield, NJ
National Provider Identifier
1114900735
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD000278300 Issued in NJ
Practice address
908 Oak Tree Ave
Suite R
South Plainfield, NJ 07080-5100
Phone
(908) 222-8980
Fax
(908) 222-8976
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD000278300 NJ Primary

Addresses

Primary practice location

908 Oak Tree Ave
Suite R
South Plainfield, NJ 07080-5100

Mailing address

13 Tyska Ave
Sayreville, NJ 08872-1778
Phone (908) 222-8980

Other identifiers 1

IdentifierTypeStateIssuer
0076449MedicaidNJ

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
I20040913000076 NJ Practitioner - Podiatry 3173511987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Specialist of NJGroup PAC ID 8921156407, 3 clinicians

Practice addresses (Care Compare)

221 Courtyard Dr
Hillsborough, NJ 08844-4247
Phone (908) 722-3668

329 Amboy Ave
Woodbridge, NJ 07095-2975
Phone (732) 326-2468

908 Oak Tree Ave
Suite R
South Plainfield, NJ 07080-5135
Phone (908) 222-8980

B2 Brier Hill CT
Suite 1
East Brunswick, NJ 08816-3348
Phone (732) 254-9302

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue69
Removal of skin lesions1-10
Removal of nail tissue444
Removal or shaving of skin growth173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD000278300NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Specialist of NJ Podiatrist CurrentSince Mar 13, 2007 Accepting new patients

Locations

B2 Brier Hill Ct
Ste 1
East Brunswick, NJ 08816
Phone (732) 254-9302

211 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 685-0080

619 Union Ave
Middlesex, NJ 08846
Phone (732) 369-3447

908 Oak Tree Ave
Ste R
South Plainfield, NJ 07080
Phone (908) 222-8980

329 Amboy Ave
Woodbridge, NJ 07095
Phone (732) 326-2468

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1114900735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 TYSKA AVE",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721778",
            "telephone_number": "908-222-8980",
            "fax_number": "908-222-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 OAK TREE AVE",
            "address_2": "SUITE R",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805100",
            "telephone_number": "908-222-8980",
            "fax_number": "908-222-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAPAR",
        "first_name": "JYOTSNA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD000278300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076449",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.