Individual provider Active NPI

Danny J Gomez, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Ridgewood, NJ
National Provider Identifier
1174880603
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006626 Issued in NY
Practice address
400 Route 17
Ridgewood, NJ 07450-2010
Phone
(201) 445-2288
Fax
(201) 445-2288
NPI assigned
Apr 22, 2012
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00319300 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 006626 NY Primary

Addresses

Primary practice location

400 Route 17
Ridgewood, NJ 07450-2010

Mailing address

331 Boulevard
Glen Rock, NJ 07452-3212
Phone (973) 202-4933

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
I20140318001557 NJ Practitioner - Podiatry 9133350077 Reassigns benefits to 3 organizations
Practice locations: Glen Rock, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

400 State RT
Suite 17
Ridgewood, NJ 07450-2010
Phone (201) 445-2288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue403
Removal of skin lesions14
Removal of nail tissue875
Removal or shaving of skin growth212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006626NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates of Wyckoff Foot & Ankle Surgery CurrentSince Oct 1, 2022 Accepting new patients
New Jersey Podiatry, LLC Foot & Ankle Surgery CurrentSince Jan 10, 2021 Accepting new patients
Proactive Foot and Ankle Foot & Ankle Surgery CurrentSince Jul 2, 2022 Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Dec 17, 2021 Accepting new patients
Proactive Foot and Ankle CurrentSince Jul 2, 2022 Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Dec 17, 2021 Accepting new patients
Bergen Medical Sports & Spine, Inc. CurrentSince Jan 18, 2021 Accepting new patients

Locations

1 Sears Dr
Ste 305
Paramus, NJ 07652
Phone (201) 261-5220

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

400 State Rt 17
Ridgewood, NJ 07450
Phone (201) 445-2288

400 State Rt 17
Ste 2
Ridgewood, NJ 07450
Phone (201) 445-2288

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

350 Franklin Ave
Wyckoff, NJ 07481
Phone (201) 257-5222

Interoperability endpoints

  • Direct secure messaging: danny.gomez.1@5622.direct.athenahealth.com

Organizations & group practices 7

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": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1174880603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 BOULEVARD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523212",
            "telephone_number": "973-202-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROUTE 17",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502010",
            "telephone_number": "201-445-2288",
            "fax_number": "201-445-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "DANNY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-22",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00319300",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.