Individual provider Active NPI

Robert S Nardolillo, DPM

  • Podiatrist
  • Shrewsbury, NJ
National Provider Identifier
1265505630
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00207100 Issued in NJ
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of tissue95
Removal of skin lesions42
Removal of nail tissue145
Removal or shaving of skin growth33
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00207100NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
American Foot & Ankle Center PA Podiatrist Past Accepting new patients
Einhorn & Einhorn, DPM,S Podiatrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.