Active NPI
Fernando Andres Pinero
- Foot & Ankle Surgery Podiatrist
- Princeton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00360800
- Practice address
- 325 Princeton Ave
Princeton, NJ 08540-1617 - Phone
- (609) 924-8131
- Fax
- (609) 924-8532
- NPI assigned
- Apr 5, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00360800 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00360800 | NJ | Primary |
Addresses
Primary practice location
325 Princeton Ave
Princeton, NJ 08540-1617
Mailing address
11134 Town Walk Dr
Hamden, CT 06518-3722
Phone (787) 559-3148
Other practice location 1
1450 Chapel St
New Haven, CT 06511-4405
Phone (203) 789-3000
Other practice location 2
20 York St
New Haven, CT 06510-3220
Phone (203) 789-3000
Other practice location 3
950 Campbell Ave
West Haven, CT 06516-2770
Phone (203) 932-5711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
508 Blake St
New Haven, CT 06515-1287
Phone (203) 397-0624
Hospital & facility affiliations
- Yale-New Haven Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 64 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 298 |
| Removal or shaving of skin growth | 189 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1137 | CT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Foot Surgeons PC | Podiatrist | Current | Accepting new patients |
| J M Podiatry Associates PC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
508 Blake St
New Haven, CT 06515
Phone (203) 397-0142
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
Interoperability endpoints
- fpinero396656@direct.ynhh.org
Organizations & group practices 2
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
- New Haven, CT
- NPI 1760690572
-
- Foot & Ankle Surgery Podiatrist
- Hamilton SQ, NJ
- NPI 1427925551
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1215433412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11134 TOWN WALK DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183722",
"telephone_number": "787-559-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PRINCETON AVE",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085401617",
"telephone_number": "609-924-8131",
"fax_number": "609-924-8532"
}
],
"practiceLocations": [
{
"address_1": "1450 Chapel St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065114405",
"country_code": "US",
"telephone_number": "203-789-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 York St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-789-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "950 Campbell Ave",
"address_purpose": "LOCATION",
"city": "West Haven",
"state": "CT",
"postal_code": "065162770",
"country_code": "US",
"telephone_number": "203-932-5711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINERO",
"first_name": "FERNANDO",
"middle_name": "ANDRES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-05",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00360800",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00360800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.