Active NPI
Michael J. Felicetta
- Foot Surgery Podiatrist
- Toms River, NJ
National Provider Identifier
1235191875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- MD00111300
- Practice address
- 1178 Route 37 W
Ste 1
Toms River, NJ 08755-4920 - Phone
- (732) 240-5677
- Fax
- (732) 240-0926
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | MD00111300 | NJ | Primary |
Addresses
Primary practice location
1178 Route 37 W
Ste 1
Toms River, NJ 08755-4920
Mailing address
54 Bey Lea Rd
Ste 1
Toms River, NJ 08753-2978
Phone (732) 505-9728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0990906 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00111300 | NJ | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1235191875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 BEY LEA RD",
"address_2": "STE 1",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087532978",
"telephone_number": "732-505-9728",
"fax_number": "732-505-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 ROUTE 37 W",
"address_2": "STE 1",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087554920",
"telephone_number": "732-240-5677",
"fax_number": "732-240-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICETTA",
"first_name": "MICHAEL",
"middle_name": "J.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NJ",
"license": "MD00111300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0990906",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.