Individual provider Active NPI

Michael Charles Kaminsky, D.P.M.

  • Podiatrist
  • Plainfield, NJ
National Provider Identifier
1154735496
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00334500 Issued in NJ
Practice address
1250 Park Ave
Plainfield, NJ 07060-3228
Phone
(908) 224-1793
Fax
(908) 755-9204
NPI assigned
Jun 14, 2014
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00334500 NJ Primary

Addresses

Primary practice location

1250 Park Ave
Plainfield, NJ 07060-3228

Mailing address

PO Box 95000 LB# 7685
Philadelphia, PA 19195-0001
Phone (844) 362-1735

Other practice location 1

2253 South Ave Ste 1
Scotch Plains, NJ 07076-4688
Phone (908) 224-1814

Other practice location 2

28 Millburn Ave Ste 2
Springfield, NJ 07081-1023
Phone (973) 273-3637

Other practice location 3

1000 Route 9 N
Woodbridge, NJ 07095-1215
Phone (732) 242-3741

Other practice location 4

4 Progress St
Edison, NJ 08820-1199
Phone (908) 224-0322

Other practice location 5

623 N Wood Ave
Linden, NJ 07036-4151
Phone (908) 224-1854

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
I20170601001204 NJ Practitioner - Podiatry 2466729082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Health PartnersGroup PAC ID 9335494509, 28 clinicians

Practice addresses (Care Compare)

333 Route 46 W
Suite 106
Mountain Lakes, NJ 07046-1743
Phone (973) 829-7965

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.32 of 100Reported as group
Quality
62.32
Promoting interoperability
100
Improvement activities
40
Cost
65.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of nail tissue646
Removal or shaving of skin growth54
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00334500NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Health Partners CurrentSince Jul 6, 2022 Accepting new patients
Atlantic Health Partners Podiatrist CurrentSince Apr 30, 2023 Accepting new patients
Atlantic Health Partners CurrentSince Jul 6, 2022 Accepting new patients
Atlantic Health Partners Podiatrist PastSince Apr 30, 2023 Accepting new patients
Atlantic Health Partners Podiatrist PastSince Apr 30, 2023 Accepting new patients

Locations

611 Courtyard Dr
Bldg 600
Hillsborough, NJ 08844
Phone (908) 722-0030

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

1250 Park Ave
Plainfield, NJ 07060
Phone (908) 224-1793

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1154735496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB# 7685",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603228",
            "telephone_number": "908-224-1793",
            "fax_number": "908-755-9204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2253 South Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Scotch Plains",
            "state": "NJ",
            "postal_code": "070764688",
            "country_code": "US",
            "telephone_number": "908-224-1814",
            "fax_number": "908-233-1909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Millburn Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "NJ",
            "postal_code": "070811023",
            "country_code": "US",
            "telephone_number": "973-273-3637",
            "fax_number": "973-218-1668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Route 9 N",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "NJ",
            "postal_code": "070951215",
            "country_code": "US",
            "telephone_number": "732-242-3741",
            "fax_number": "732-636-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Progress St",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088201199",
            "country_code": "US",
            "telephone_number": "908-224-0322",
            "fax_number": "908-753-0199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "623 N Wood Ave",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "NJ",
            "postal_code": "070364151",
            "country_code": "US",
            "telephone_number": "908-224-1854",
            "fax_number": "908-925-3728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMINSKY",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-14",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00334500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.