Active NPI
Robert S Nardolillo, DPM
- Podiatrist
- Shrewsbury, NJ
National Provider Identifier
1265505630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00207100
- Practice address
- 674 Broad Street
Shrewsbury, NJ 07702 - Phone
- (732) 933-0370
- Fax
- (732) 933-0390
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 7, 2008
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00207100 | NJ | Primary |
Addresses
Primary practice location
674 Broad Street
Shrewsbury, NJ 07702
Mailing address
674 Broad St
Shrewsbury, NJ 07702-4202
Phone (732) 933-0370
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101216000431 | NJ | Practitioner - Podiatry | 8729276878 | Practice locations: West Long Branch, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
232 Norwood Ave
Suite 101
West Long Branch, NJ 07764-1861
Phone (732) 933-0370
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 95 |
| Removal of skin lesions | 42 |
| Removal of nail tissue | 145 |
| Removal or shaving of skin growth | 33 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00207100 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Foot & Ankle Center PA | Podiatrist | Past | Accepting new patients |
| Einhorn & Einhorn, DPM,S | Podiatrist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15879/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Podiatrist
- West Long Branch, NJ
- NPI 1104257336
-
- Foot Surgery Podiatrist
- Brooklyn, NY
- NPI 1881873719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1265505630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "674 BROAD ST",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024202",
"telephone_number": "732-933-0370",
"fax_number": "732-933-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 BROAD STREET",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "07702",
"telephone_number": "732-933-0370",
"fax_number": "732-933-0390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDOLILLO",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00207100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.