Individual provider Active NPI

Madeleine Sophie Quinn, D.P.M.

  • Podiatrist
  • Park Ridge, NJ
National Provider Identifier
1295184471
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00352600 Issued in NJ
Practice address
74 Pascack Rd
Park Ridge, NJ 07656-1935
Phone
(201) 572-4518
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 25MD00352600 NJ Primary

Addresses

Primary practice location

74 Pascack Rd
Park Ridge, NJ 07656-1935

Mailing address

125 Main St Apt 4
Little Ferry, NJ 07643-1548
Phone (201) 572-4518

Other practice location 1

4422 3rd Ave
Bronx, NY 10457-2545
Phone (201) 572-4518

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
I20200123001900 NJ Practitioner - Podiatry 2365877271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

400 Old Hook Rd
Suite 1 4
Westwood, NJ 07675-2720
Phone (201) 664-0225

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue105
Removal of skin lesions22
Removal of nail tissue2361
Removal or shaving of skin growth1113
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curalta Medical LLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Curalta Medical LLC Podiatrist CurrentSince Dec 1, 2021 Accepting new patients
Proactive Foot and Ankle CurrentSince Jan 13, 2020 Accepting new patients
Fellowship Village Inc. CurrentSince Nov 1, 2020 Accepting new patients
Fellowship Senior Living, Inc. Single Specialty CurrentSince Nov 1, 2020 Accepting new patients
Proactive Foot and Ankle Single Specialty CurrentSince Jan 13, 2020 Accepting new patients

Locations

8000 Fellowship Rd
Basking Ridge, NJ 07920
Phone (908) 580-3800

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

400 Old Hook Rd
Ste 1-4
Westwood, NJ 07675
Phone (201) 664-0225

400 Old Hook Rd
Ste 1
Westwood, NJ 07675
Phone (201) 358-9365

400 Old Hook Rd
Westwood, NJ 07675
Phone (201) 261-9445

Interoperability endpoints

  • Direct secure messaging: mquinn329272@ahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/19916/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1295184471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIN ST APT 4",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431548",
            "telephone_number": "201-572-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PASCACK RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561935",
            "telephone_number": "201-572-4518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104572545",
            "country_code": "US",
            "telephone_number": "201-572-4518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "MADELEINE",
        "middle_name": "SOPHIE",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00352600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, NJ

Sources for this page

Verify at the official NPI Registry.