Individual provider Active NPI

Dana Canuso, DPM

  • Podiatrist
  • Mount Ephraim, NJ
National Provider Identifier
1164740031
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00304100 Issued in NJ
Practice address
40 W Kings Hwy
Mount Ephraim, NJ 08059-1303
Phone
(856) 780-0779
NPI assigned
May 17, 2010
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00304100 NJ Primary

Addresses

Primary practice location

40 W Kings Hwy
Mount Ephraim, NJ 08059-1303

Mailing address

2 Cheryl CT
Marlton, NJ 08053-4929
Phone (856) 780-0779

Other identifiers 1

IdentifierTypeStateIssuer
25MD00304100OtherNJNJ LICENSE

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
I20110525000498 NJ Practitioner - Podiatry 3577749621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Footcare Home VisitsGroup PAC ID 9335548619, 2 clinicians

Practice addresses (Care Compare)

40 W Kings Hwy
Mount Ephraim, NJ 08059-1303
Phone (856) 780-0779

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue145
Removal or shaving of skin growth111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00304100NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Footcare Home Visits Podiatrist CurrentSince Apr 1, 2021 Accepting new patients

Locations

40 W Kings Hwy
Mount Ephraim, NJ 08059
Phone (856) 780-0779

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, 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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1164740031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHERYL CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534929",
            "telephone_number": "856-780-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W KINGS HWY",
            "city": "MOUNT EPHRAIM",
            "state": "NJ",
            "postal_code": "080591303",
            "telephone_number": "856-780-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANUSO",
        "first_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00304100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MD00304100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Ephraim, NJ

Sources for this page

Verify at the official NPI Registry.