Individual provider Active NPI

Kevin M Healey, DPM

  • Podiatrist
  • Clifton, NJ
National Provider Identifier
1265464515
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD01387 Issued in NJ
Practice address
152 Lakeview Ave
Clifton, NJ 07011
Phone
(973) 340-8970
Fax
(973) 340-8632
NPI assigned
Jul 7, 2006
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD01387 NJ Primary

Addresses

Primary practice location

152 Lakeview Ave
Clifton, NJ 07011

Mailing address

152 Lakeview Ave
Clifton, NJ 07011
Phone (973) 340-8970

Other identifiers 1

IdentifierTypeStateIssuer
3227308MedicaidNJ

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
I20060911000340 NJ Practitioner - Podiatry 5991785834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD01387NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Associates of North Jersey Podiatrist CurrentSince Jul 1, 2006 Accepting new patients
Proactive Foot and Ankle CurrentSince Sep 1, 2021 Accepting new patients
Proactive Foot and Ankle CurrentSince Sep 1, 2021 Accepting new patients
Kevin M Healey DPM Dba Ankle & Foot Assoc of No Jersey PastSince Jul 1, 1983 Accepting new patients

Locations

1187 Main Ave
Clifton, NJ 07011
Phone (973) 340-8970

1187 Main Ave
Ste 2D
Clifton, NJ 07011

152 Lakeview Ave
Clifton, NJ 07011
Phone (973) 340-8970

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

Interoperability endpoints

  • Direct secure messaging: kevin.healey@pfaa-nj.direct.office.nextgen.com

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, 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1265464515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-340-8970",
            "fax_number": "973-340-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-340-8970",
            "fax_number": "973-340-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3227308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.