Theodore A. D'Amato, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00271000 Issued in NJ

Practice address

214 Chambersbridge Rd
Brick, NJ 08723-2802

Phone

(732) 836-1374

Fax

(732) 936-1384

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Huguenot Podiatry Group PCGroup PAC ID 5395997019, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Theodore D'Amato, PC

  • Foot & Ankle Surgery Podiatrist
  • Brick, NJ
  • NPI 1598861585
  Medicare reassignment NPD Authorized official
• Huguenot Podiatry Group PC

  • Podiatrist
  • Staten Island, NY
  • NPI 1689929374

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1184720161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CHAMBERSBRIDGE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087232802",
            "telephone_number": "732-836-1374",
            "fax_number": "732-936-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CHAMBERSBRIDGE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087232802",
            "telephone_number": "732-836-1374",
            "fax_number": "732-936-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMATO",
        "first_name": "THEODORE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00271000",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8925607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Alexis Curran, MS, CCC-SLP
• CVL Assessment Services
• Samantha Czabafy, BCBA
• Phillip Z Czermak, LCSW
• D & R Dental Associates, Inc.
• Daniel Dacosta, OTR/L
• Sonia Dadlani, MD
• Kathleen Anne Dailey, DPT
• Alicia Marie Dalia, OTR/L
• John Thomas Damurjian, RPH

• Foot & Ankle Surgery Podiatrist in Brick, NJ
• Providers in Brick, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.

Verify at the official NPI Registry.