Individual provider Active NPI

Wayne A Chieppa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Succasunna, NJ
National Provider Identifier
1245230184
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00186600 Issued in NJ
Practice address
66 Sunset Strip
Suite 405
Succasunna, NJ 07876-1345
Phone
(973) 927-2525
Fax
(973) 927-3249
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00186600 NJ Primary

Addresses

Primary practice location

66 Sunset Strip
Suite 405
Succasunna, NJ 07876-1345

Mailing address

66 Sunset Strip
Suite 405
Succasunna, NJ 07876-1345
Phone (973) 927-2525

Other identifiers 2

IdentifierTypeStateIssuer
001393891OtherPAPA HIGHMARK BLUE SHIELD
470036YA8JOtherNJMEDICARE

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
I20100728000187 NJ Practitioner - Podiatry 0648303651 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roxbury Foot and Ankle Center, PA Foot & Ankle Surgery CurrentSince Aug 29, 1989 Accepting new patients

Locations

274 Route 10 W
Ste 2
Succasunna, NJ 07876
Phone (908) 852-3301

66 Towne Ctr
Ste 405
Succasunna, NJ 07876
Phone (973) 927-2525

Interoperability endpoints

  • Direct secure messaging: chieppa.wayne.007.0300190@rofa.meditab.direct-ci.com

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421452800000",
    "number": "1245230184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP",
            "address_2": "SUITE 405",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761345",
            "telephone_number": "973-927-2525",
            "fax_number": "973-927-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP",
            "address_2": "SUITE 405",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761345",
            "telephone_number": "973-927-2525",
            "fax_number": "973-927-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEPPA",
        "first_name": "WAYNE",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00186600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA HIGHMARK BLUE SHIELD",
            "identifier": "001393891",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "470036YA8J",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

Verify at the official NPI Registry.