Individual provider Active NPI

John M. Depalma, D.P.M.

  • Podiatrist
  • Medford, NJ
National Provider Identifier
1205828787
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00223300 Issued in NJ
Practice address
520 Stokes Road
Suite C-5
Medford, NJ 08055
Phone
(609) 714-0052
Fax
(609) 714-3087
NPI assigned
Aug 19, 2005
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD002233 NJ
Podiatrist 213E00000X 25MD00223300 NJ Primary

Addresses

Primary practice location

520 Stokes Road
Suite C-5
Medford, NJ 08055

Mailing address

520 Stokes Road
Suite C-5
Medford, NJ 08055
Phone (609) 714-0052

Other identifiers 16

IdentifierTypeStateIssuer
0763611000OtherAMERIHEALTH PERSONAL CH
223434672OtherAMER. PREFERRED PROVIDER
F17329OtherHEALTH NET
0762611000OtherKEYSTONE - EAST
0763611000OtherAMERIHEALTH PPO
0000616345OtherAMERIHEALTH ADMINISTRATOR
0763611000OtherAMERIHEALTH POS
223434672OtherDIRECT CARE AMERICA
4623650001OtherHEALTH NOW
480034600OtherRR MEDICARE
00000089143OtherBETTER HEALTH ADVANTAGE
0000616345OtherBC/BS PERSONAL CHOICE
0763611000OtherAMERIHEALTH HMO
220463OtherVSFHP
317027OtherDIVON
8982930OtherCIGNA

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
I20040316000038 NJ Practitioner - Podiatry 5092605006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 Stokes Rd
Suite C5
Medford, NJ 08055-2904
Phone (609) 714-0052

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions26
Removal of nail tissue1435
Removal or shaving of skin growth290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD002233NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington County Foot & Ankle Assoc, Inc Podiatrist CurrentSince Dec 1, 1995 Accepting new patients

Locations

103 Old Marlton Pike
Ste 204
Medford, NJ 08055
Phone (609) 714-0052

520 Stokes Rd
Ste C5
Medford, NJ 08055
Phone (609) 714-0052

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1205828787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 STOKES ROAD",
            "address_2": "SUITE C-5",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "08055",
            "telephone_number": "609-714-0052",
            "fax_number": "609-714-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STOKES ROAD",
            "address_2": "SUITE C-5",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "08055",
            "telephone_number": "609-714-0052",
            "fax_number": "609-714-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALMA",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002233",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00223300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PERSONAL CH",
            "identifier": "0763611000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMER. PREFERRED PROVIDER",
            "identifier": "223434672",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "F17329",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE - EAST",
            "identifier": "0762611000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "0763611000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "0000616345",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH POS",
            "identifier": "0763611000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIRECT CARE AMERICA",
            "identifier": "223434672",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "4623650001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480034600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETTER HEALTH ADVANTAGE",
            "identifier": "00000089143",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PERSONAL CHOICE",
            "identifier": "0000616345",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0763611000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSFHP",
            "identifier": "220463",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVON",
            "identifier": "317027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8982930",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.