Individual provider Active NPI

Spruha Magodia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lawrence Township, NJ
National Provider Identifier
1124556865
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00362300 Issued in NJ
Practice address
2633 Main St Ste 202
Lawrence Township, NJ 08648-1086
Phone
(609) 512-1126
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 SC006863 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00362300 NJ Primary

Addresses

Primary practice location

2633 Main St Ste 202
Lawrence Township, NJ 08648-1086

Mailing address

33 Bridgewater CT
Jackson, NJ 08527-4030

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
I20210920000695 NJ Practitioner - Podiatry 6507136272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Lawrenceville Foot and Ankle Specialists LLCGroup PAC ID 4880091859, 2 clinicians

Practice addresses (Care Compare)

2633 Main St
Suite 202
Lawrenceville, NJ 08648-1086
Phone (609) 512-1126

Merit-based Incentive Payment System (MIPS)

Final score
98.5 of 100Reported as individual
Quality
97.01
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue62
Removal of nail tissue3484
Removal or shaving of skin growth1639
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrenceville Foot and Ankle Specialists LLC Foot & Ankle Surgery CurrentSince Sep 1, 2021 Accepting new patients

Locations

2633 Main St
Ste 202
Lawrenceville, NJ 08648
Phone (609) 512-1126

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1124556865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BRIDGEWATER CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 MAIN ST STE 202",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086481086",
            "telephone_number": "609-512-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGODIA",
        "first_name": "SPRUHA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006863",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00362300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence Township, NJ

Sources for this page

Verify at the official NPI Registry.