Individual provider Active NPI

Joseph Merendino, DPM

  • Podiatrist
  • Boca Raton, FL
National Provider Identifier
1285618272
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2534 Issued in FL
Practice address
22023 State Road 7
Suite #101
Boca Raton, FL 33428-3401
Phone
(561) 353-3333
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2534 FL Primary

Addresses

Primary practice location

22023 State Road 7
Suite #101
Boca Raton, FL 33428-3401

Mailing address

22023 State Road 7
Suite #101
Boca Raton, FL 33428-3401
Phone (561) 353-3333

Other identifiers 1

IdentifierTypeStateIssuer
P00699369OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050418001003 FL Practitioner - Podiatry 5193763571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22023 State Rd
7 Suite 101
Boca Raton, FL 33428-3401
Phone (561) 353-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue44
Removal or shaving of skin growth54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2534FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hollywood Foot & Ankle Center Inc Podiatrist CurrentSince Nov 15, 2005 Accepting new patients
Oakwood Lakes Podiatry Group PA Podiatrist CurrentSince Aug 6, 2002 Accepting new patients
United Medical Center of Boca Raton Corp CurrentSince Aug 1, 2008 Accepting new patients
Brian Mattison DPM PA Past Accepting new patients

Locations

22023 State Road 7
Ste 101
Boca Raton, FL 33428
Phone (561) 353-3333

3695 W Boynton Beach Blvd
Ste 4
Boynton Beach, FL 33436
Phone (561) 364-5522

3695 W Boynton Beach Blvd
Boynton Beach, FL 33436
Phone (561) 364-5522

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1285618272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22023 STATE ROAD 7",
            "address_2": "SUITE #101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283401",
            "telephone_number": "561-353-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22023 STATE ROAD 7",
            "address_2": "SUITE #101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283401",
            "telephone_number": "561-353-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERENDINO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00699369",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.