Active NPI
John E Pelosi, DPM
- Podiatrist
- Glassboro, NJ
National Provider Identifier
1124025820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD002642
- Practice address
- 411 N Main St
Glassboro, NJ 08028-1633 - Phone
- (856) 881-2525
- Fax
- (856) 881-0734
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD002642 | NJ | Primary |
Addresses
Primary practice location
411 N Main St
Glassboro, NJ 08028-1633
Mailing address
411 N Main St
Glassboro, NJ 08028-1633
Phone (856) 881-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8622302 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
507 N Main St
Glassboro, NJ 08028-1635
Hospital & facility affiliations
- Bayada at Inspira, Home Health and Hospice
- Inspira Medical Center Mullica Hill
- Inspira Medical Center Vineland
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 147 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1133 |
| Removal or shaving of skin growth | 180 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD002642 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Foot and Ankle, Inc. | Podiatrist | Current | Accepting new patients |
Locations
411 N Main St
Glassboro, NJ 08028
Phone (856) 881-2525
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.
-
- Podiatrist
- Woodbury, NJ
- NPI 1376740902
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
- Home Health Agency
- West Deptford, NJ
- NPI 1629431481
-
- Home Health Agency
- Millville, NJ
- NPI 1710340575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124025820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N MAIN ST",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281633",
"telephone_number": "856-881-2525",
"fax_number": "856-881-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N MAIN ST",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281633",
"telephone_number": "856-881-2525",
"fax_number": "856-881-0734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELOSI",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD002642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8622302",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.