Stacey A Paukovitz, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00269900 Issued in NJ

Practice address

1903 Atlantic Ave
BLDG C, Ste 3
Manasquan, NJ 08736-0873

Phone

(732) 528-2218

Fax

(732) 528-2234

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PodiatryAlso: Orthopedic Surgery, Sports Medicine

Education

Temple University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1737f32c-1a16-4660-8f22-545d69ce01dc/

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.

• High Performance Foot and Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Manasquan, NJ
  • NPI 1902208044
  Medicare reassignment NPD Authorized official
• Frank J. Killian

  • Foot Surgery Podiatrist
  • Trenton, NJ
  • NPI 1740474576
  NPD (past)
• Mid-Atlantic Podiatry Associates

  • Foot & Ankle Surgery Podiatrist
  • Washington, DC
  • NPI 1649344201
  NPD (past)

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

• HMH Hospitals Corporation

  dba Ocean Medical Center

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1285670539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 ATLANTIC AVE",
            "address_2": "BLDG C, STE 3",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087360873",
            "telephone_number": "732-528-2218",
            "fax_number": "732-528-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 ATLANTIC AVE",
            "address_2": "BLDG C, STE 3",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087360873",
            "telephone_number": "732-528-2218",
            "fax_number": "732-528-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUKOVITZ",
        "first_name": "STACEY",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00269900",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD00269900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Parker, PT
• M Kathleen Parte-Willbergh, M.A.
• Jacqueline Marisa Passariello, APN/RNFA
• Hiren Ramesh Patel, MD
• Sushma Patel, OD
• Paxxon Healthcare Services LLC
• Sarah Jade Peace, LAC
• Melissa L Peccerillo, D.C.
• Perlman Counseling and Supervision Services LLC
• Mark Alan Perlmutter, M.D.

• Foot & Ankle Surgery Podiatrist in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.