Individual provider Active NPI

Angelo A Luzzi, DPM

  • Podiatrist
  • Hammonton, NJ
National Provider Identifier
1184671349
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD0011160 Issued in NJ
Practice address
750 S White Horse Pike
Hammonton, NJ 08037
Phone
(609) 567-0606
Fax
(609) 567-2509
NPI assigned
May 30, 2006
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD001116 NJ
Podiatrist 213E00000X 25MD0011160 NJ Primary

Addresses

Primary practice location

750 S White Horse Pike
Hammonton, NJ 08037

Mailing address

750 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0606

Other identifiers 3

IdentifierTypeStateIssuer
7820240002OtherNJDMERC
0736309MedicaidNJ
1184671349OtherNJINDIVIDUAL NPI

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
I20051222000288 NJ Practitioner - Podiatry 8729007588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Center of SJGroup PAC ID 7517397136, 6 clinicians

Practice addresses (Care Compare)

750 S White Horse Pike
Hammonton, NJ 08037-2001
Phone (609) 567-0606

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD0011160NJMDPodiatrist
MD001116NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Center of SJ Podiatrist CurrentSince Apr 1, 2020 Accepting new patients
Regional Foot and Ankle Specialists, LLC Podiatrist Past Accepting new patients
Silvesti Chiropractic Center LLC Past Accepting new patients

Locations

750 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 404-0700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/32e03c95-b309-4594-826f-8331ad619414/

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, 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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1184671349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "08037",
            "telephone_number": "609-567-0606",
            "fax_number": "609-567-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "08037",
            "telephone_number": "609-567-0606",
            "fax_number": "609-567-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZZI",
        "first_name": "ANGELO",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD001116",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD0011160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "7820240002",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0736309",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1184671349",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.