Individual provider Active NPI

Patrick J Caputo, DPM

  • Podiatrist
  • Holmdel, NJ
National Provider Identifier
1235190935
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD01463 Issued in NJ
Practice address
719 N Beers St
Suite 2a
Holmdel, NJ 07733-1522
Phone
(732) 739-3230
Fax
(732) 739-4656
NPI assigned
Mar 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD01463 NJ Primary

Addresses

Primary practice location

719 N Beers St
Suite 2a
Holmdel, NJ 07733-1522

Mailing address

719 N Beers St
Suite 2a
Holmdel, NJ 07733-1522
Phone (732) 739-3230

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
I20070119000355 NJ Practitioner - Podiatry 4486655305 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Holmdel, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7 Chase Rd
Lumberton, NJ 08048-6203
Phone (856) 764-4400

719 N Beers St
Suite 2a Douglas N. Delorenzo DPM
Holmdel, NJ 07733-1523
Phone (732) 739-3230

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of skin lesions1-10
Removal of nail tissue136
Removal or shaving of skin growth47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1463NJMDPsychologist
MD01463NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Podiatrist CurrentSince Nov 15, 2024 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Podiatrist CurrentSince Nov 15, 2024 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Podiatrist Current Accepting new patients
Douglas N. Delorenzo DPM LLC CurrentSince Jul 7, 2024 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Podiatrist Past Accepting new patients

Locations

719 N Beers St
Ste 2A
Holmdel, NJ 07733
Phone (732) 739-3230

4633 US Highway 9
Howell, NJ 07731
Phone (732) 994-5333

85 S Jefferson St
Ste 2
Orange, NJ 07050
Phone (732) 994-5333

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235190935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITE 2A",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331522",
            "telephone_number": "732-739-3230",
            "fax_number": "732-739-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITE 2A",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331522",
            "telephone_number": "732-739-3230",
            "fax_number": "732-739-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.