Individual provider Active NPI

Thomas J Gibbons, DPM

  • Foot & Ankle Surgery Podiatrist
  • East Brunswick, NJ
National Provider Identifier
1154315703
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD001948 Issued in NJ
Practice address
8 Auer CT
East Brunswick, NJ 08816-5846
Phone
(732) 254-2609
Fax
(732) 238-6269
NPI assigned
Sep 8, 2005
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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 MD001948 NJ Primary

Addresses

Primary practice location

8 Auer CT
East Brunswick, NJ 08816-5846

Mailing address

8 Auer CT
East Brunswick, NJ 08816-5846
Phone (732) 254-2609

Other identifiers 1

IdentifierTypeStateIssuer
4602501MedicaidNJ

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
I20060330000446 NJ Practitioner - Podiatry 8224046727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Auer CT
Suite Candd
East Brunswick, NJ 08816-5846
Phone (732) 254-2609

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of nail tissue2428
Removal or shaving of skin growth2124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD001948NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gibbons Foot & Ankle Group LLC Foot & Ankle Surgery CurrentSince Feb 9, 2006 Accepting new patients

Locations

281 Summerhill Rd
Ste 102
East Brunswick, NJ 08816
Phone (732) 254-0800

8 Auer Ct
Ste C
East Brunswick, NJ 08816
Phone (732) 254-2216

8 Auer Ct
Ste Cd
East Brunswick, NJ 08816
Phone (732) 254-2216

1 David Brainerd Dr
Monroe Twp, NJ 08831
Phone (732) 266-3733

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, 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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1154315703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 AUER CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165846",
            "telephone_number": "732-254-2609",
            "fax_number": "732-238-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 AUER CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165846",
            "telephone_number": "732-254-2609",
            "fax_number": "732-238-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD001948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4602501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.