Organization Active NPI

Biebel & Decotiis Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Holmdel, NJ
National Provider Identifier
1306868302
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD01539 Issued in NJ
Legal business name
BIEBEL & DECOTIIS ASSOCIATES, LLC
Practice address
721 N Beers St
Suite 2C
Holmdel, NJ 07733-1518
Phone
(732) 888-1717
Fax
(732) 888-2101
NPI assigned
Jul 25, 2006
Last updated
Jun 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Mark Anthony Biebel, DPMNPI 1356310528
Title
Partner
Phone
(732) 888-1717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD01539 NJ Primary

Addresses

Primary practice location

721 N Beers St
Suite 2C
Holmdel, NJ 07733-1518

Mailing address

721 N Beers St
Suite 2C
Holmdel, NJ 07733-1518
Phone (732) 888-1717

Other identifiers 2

IdentifierTypeStateIssuer
0036137MedicaidNJ
2298183000OtherAMERIHEALTH GR.PROV. #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040819001130 NJ Part B Supplier - Clinic/Group Practice 7810961521 Receives reassigned benefits from 5 practitioners
Practice locations: Holmdel, NJ; Middletown, NJ
O20100930084229 NJ DME Supplier - Physician - Podiatry 7810961521 Practice locations: Holmdel, NJ

National Provider Directory

National Provider Directory

Locations

721 N Beers St
Ste 2C
Holmdel, NJ 07733
Phone (732) 888-1717

1000 State Route 35
Ste 101
Middletown, NJ 07748
Phone (732) 629-9699

1000 State Route 35
Ste 200
Middletown, NJ 07748
Phone (732) 837-3313

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1306868302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N BEERS ST",
            "address_2": "SUITE 2C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331518",
            "telephone_number": "732-888-1717",
            "fax_number": "732-888-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N BEERS ST",
            "address_2": "SUITE 2C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331518",
            "telephone_number": "732-888-1717",
            "fax_number": "732-888-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIEBEL & DECOTIIS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "BIEBEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-888-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD01539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036137",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GR.PROV. #",
            "identifier": "2298183000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.