Active NPI
Robert Patrick Thiele, DPM
- Foot & Ankle Surgery Podiatrist
- Bridgewater, NJ
National Provider Identifier
1174511075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00258300
- Practice address
- 9 Monroe St
Bridgewater, NJ 08807-3043 - Phone
- (908) 231-1114
- Fax
- (908) 252-1930
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00258300 | NJ | Primary |
Addresses
Primary practice location
9 Monroe St
Bridgewater, NJ 08807-3043
Mailing address
9 Monroe Street
Bridgewater, NJ 08807
Phone (908) 231-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8500207 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9 Monroe St
Bridgewater, NJ 08807-3043
Phone (908) 231-1114
Hospital & facility affiliations
- Robert Wood Johnson University Hospital - Somerset
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 234 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 655 |
| Removal or shaving of skin growth | 196 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerset Foot and Ankle LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Skybridge Healthcare Limited Liability Company | Past | Accepting new patients | |
| Inman Medical Associates,LLC | Past | Accepting new patients |
Locations
9 Monroe St
Bridgewater, NJ 08807
Phone (908) 231-1114
Interoperability endpoints
- rthiele53794@epicdirect.rwjbh.org
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Bridgewater, NJ
- NPI 1326496217
-
- Internal Medicine Physician
- Colonia, NJ
- NPI 1073702205
-
- Primary Podiatric Medicine Podiatrist
- Bridgewater, NJ
- NPI 1124422431
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Somerville, NJ
- NPI 1003236878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1174511075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MONROE STREET",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "08807",
"telephone_number": "908-231-1114",
"fax_number": "908-252-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MONROE ST",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088073043",
"telephone_number": "908-231-1114",
"fax_number": "908-252-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIELE",
"first_name": "ROBERT",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00258300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8500207",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, NJ
- The Dermatology Center of New Jersey, PC
- The Dermatology Center of NJ,PC
- The Eye Specialists, PA
- The Jewish Community Center of Somerset, Hunterdon & Warren Counties
- The Life Skills Resource Center
- Imrinject Kaur Thind, BA
- Khadiyyah Thomas, LPN
- Sierra Frances Thomas, BA
- Samantha Thompson, SLP
- Sydney Thompson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.