Individual provider Active NPI

Anthony Michael Burniewicz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lincroft, NJ
National Provider Identifier
1114903713
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005462 Issued in NY
Practice address
513 Newman Springs Rd
Lincroft, NJ 07738-1426
Phone
(732) 741-6050
Fax
(732) 741-3074
NPI assigned
Dec 16, 2005
Last updated
May 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00266000 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X N005462 NY Primary

Addresses

Primary practice location

513 Newman Springs Rd
Lincroft, NJ 07738-1426

Mailing address

513 Newman Springs Rd
Lincroft, NJ 07738-1426
Phone (732) 741-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040811000610 NJ Practitioner - Podiatry 1052383874 Reassigns benefits to 2 organizations
I20041202000948 NY Practitioner - Podiatry 1052383874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victory Podiatry Associate PLLCGroup PAC ID 9638417850, 2 clinicians

Practice addresses (Care Compare)

2305 Victory Blvd
Staten Island, NY 10314-6623
Phone (718) 761-6665

513 Newman Springs Rd
Lincroft, NJ 07738-1426
Phone (732) 741-6050

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 tissue30
Removal of skin lesions1-10
Removal of nail tissue4134
Removal or shaving of skin growth409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200000NYMDPediatrics Physician
N005462NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mitchell T. Zimmel PA Foot & Ankle Surgery CurrentSince Feb 1, 2006 Accepting new patients
Lincroft Foot and Ankle Associates Foot & Ankle Surgery CurrentSince Jul 1, 2004 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mitchell T Zimmel Foot & Ankle Surgery Past Accepting new patients

Locations

513 Newman Springs Rd
Lincroft, NJ 07738
Phone (718) 761-6665

180 White Rd
Ste 105
Little Silver, NJ 07739
Phone (732) 224-0800

Interoperability endpoints

  • Direct secure messaging: aburniewicz218679@northwell.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/dd839e2d-c171-46e8-bad2-f7adc1f055dd/

Organizations & group practices 5

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1114903713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 NEWMAN SPRINGS RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381426",
            "telephone_number": "732-741-6050",
            "fax_number": "732-741-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 NEWMAN SPRINGS RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381426",
            "telephone_number": "732-741-6050",
            "fax_number": "732-741-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNIEWICZ",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00266000",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincroft, NJ

Sources for this page

Verify at the official NPI Registry.