Marc Leonard Mizrachy, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MDO0253800 Issued in NJ

Practice address

719 Route 206
Suite 107
Hillsborough, NJ 08844

Phone

(908) 431-5901

Fax

(908) 431-5906

NPI assigned

Dec 16, 2005

Last updated

Dec 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Merit-based Incentive Payment System (MIPS)

Final score

63.21 of 100Reported as individual

Quality

25

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmizrachy53787@epicdirect.rwjbh.org

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.

• Hillsborough Podiatry Group, LLC

  • Primary Podiatric Medicine Podiatrist
  • Hillsborough, NJ
  • NPI 1700029048
  Medicare reassignment NPD Authorized official
• Skybridge Healthcare Limited Liability Company

  • Primary Podiatric Medicine Podiatrist
  • Bridgewater, NJ
  • NPI 1124422431
  NPD (past)

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

• Robert Wood Johnson University Hospital Inc

  dba Robert Wood Johnson University Hospital Somerset

  • General Acute Care Hospital
  • Somerville, NJ
  • NPI 1003236878
  Care Compare affiliation

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1275519738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 ROUTE 206",
            "address_2": "SUITE 107",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-431-5901",
            "fax_number": "908-431-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 ROUTE 206",
            "address_2": "SUITE 107",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-431-5901",
            "fax_number": "908-431-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRACHY",
        "first_name": "MARC",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MDO0253800",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "MD02538",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD02538",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7369601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindset Health LLC
• Mission Cognition
• Hinal Mistry, NP
• Neha Amrutlal Mistry, APN
• George Nicholas Mitchels, D.M.D.
• MKF Counseling
• Mobility Transport Services, LLC. (Sail MTS)
• Momcares Group Home LLC.
• Kimberly Mondoro, LSW
• Dara J Monsorno, B.A.

• Podiatrist in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.

Verify at the official NPI Registry.