Individual provider Active NPI

Michael Francis Kowalski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pompton Lakes, NJ
National Provider Identifier
1255460309
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD1838 Issued in NJ
Practice address
191 Hamburg Tpke Ste 2a
Pompton Lakes, NJ 07442-2332
Phone
(973) 839-3200
Fax
(973) 839-3095
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD1838 NJ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00183800 NJ

Addresses

Primary practice location

191 Hamburg Tpke Ste 2a
Pompton Lakes, NJ 07442-2332

Mailing address

191 Hamburg Tpke Ste 2a
Pompton Lakes, NJ 07442-2332
Phone (973) 839-3200

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
I20071101000395 NJ Practitioner - Podiatry 7416044821 Reassigns benefits to 1 organization
Practice locations: Pompton Lakes, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skybridge Healthcare Limited Liability CompanyGroup PAC ID 6901117084, 8 clinicians

Practice addresses (Care Compare)

720 RT
Bridgewater, NJ 08807-1746
Phone (908) 704-8778

Hospital & facility affiliations

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 tissue188
Removal of skin lesions1-10
Removal of nail tissue391
Removal or shaving of skin growth26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00183800NJMDFoot & Ankle Surgery Podiatrist
MD1838NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Skybridge Healthcare Limited Liability Company CurrentSince Mar 10, 2025 Accepting new patients
Id Care LLC Past Accepting new patients
Foot and Ankle Center of New Jersey LLC Foot & Ankle Surgery PastSince Mar 6, 2022 Accepting new patients
Biosound Medical Services, Inc Past Accepting new patients

Locations

720 US Highway 202/206
Bridgewater, NJ 08807
Phone (908) 704-8778

191 Hamburg Tpke
Ste 2A
Pompton Lakes, NJ 07442
Phone (973) 839-3200

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1255460309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 HAMBURG TPKE STE 2A",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422332",
            "telephone_number": "973-839-3200",
            "fax_number": "973-839-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HAMBURG TPKE STE 2A",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422332",
            "telephone_number": "973-839-3200",
            "fax_number": "973-839-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD1838",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00183800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

Verify at the official NPI Registry.