Individual provider Active NPI

Steven N. Poling, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Rutherford, NJ
National Provider Identifier
1154304269
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00164000 Issued in NJ
Practice address
240 Park Ave
Rutherford, NJ 07070-2323
Phone
(201) 460-1555
Fax
(201) 460-8090
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00164000 NJ Primary

Addresses

Primary practice location

240 Park Ave
Rutherford, NJ 07070-2323

Mailing address

240 Park Ave
Rutherford, NJ 07070-2323
Phone (201) 460-1555

Other identifiers 2

IdentifierTypeStateIssuer
F10710OtherNJHEALTHNET
1613707MedicaidNJ

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
I20060403000021 NJ Practitioner - Podiatry 6608884648 Reassigns benefits to 1 organization
Practice locations: Rutherford, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 Park Ave
Rutherford, NJ 07070-2323
Phone (201) 460-1355

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of nail tissue131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00164000NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Oct 1, 2011 Accepting new patients

Locations

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

24 Elm St
Harrington Pk, NJ 07640
Phone (201) 784-0123

274 County Rd
Ste A
Tenafly, NJ 07670
Phone (201) 568-0493

Interoperability endpoints

  • Direct secure messaging: spoling236827@direct.englewoodhealth.org

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1154304269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PARK AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702323",
            "telephone_number": "201-460-1555",
            "fax_number": "201-460-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PARK AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702323",
            "telephone_number": "201-460-1555",
            "fax_number": "201-460-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLING",
        "first_name": "STEVEN",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00164000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F10710",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.