Individual provider Active NPI

Nicholas Joseph Pagano Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Plymouth Meeting, PA
National Provider Identifier
1316072481
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005966 Issued in PA
Practice address
1000 Germantown Pike Ste J4
Plymouth Meeting, PA 19462-2489
Phone
(215) 681-1987
NPI assigned
Feb 22, 2007
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005966 PA Primary

Addresses

Primary practice location

1000 Germantown Pike Ste J4
Plymouth Meeting, PA 19462-2489

Mailing address

1000 Germantown Pike Ste J4
Plymouth Meeting, PA 19462-2489
Phone (484) 681-9485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20071026000094 PA Practitioner - Podiatry 0042307886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barkingdogs Foot and Ankle Care, PCGroup PAC ID 7012194012, 3 clinicians

Practice addresses (Care Compare)

1000 Germantown Pike
Suite J4
Plymouth Meeting, PA 19462-2489
Phone (484) 681-9485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue141
Removal of skin lesions18
Removal of nail tissue1208
Removal or shaving of skin growth708
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC005966PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barkingdogs Foot and Ankle Care, PC Foot & Ankle Surgery CurrentSince Feb 12, 2011 Accepting new patients
Newtown Podiatry Associates Foot & Ankle Surgery PastSince Dec 22, 1998 Accepting new patients

Locations

1000 Germantown Pike
Ste C3
Plymouth Mtng, PA 19462
Phone (484) 681-9485

1000 Germantown Pike
Ste J4
Plymouth Mtng, PA 19462
Phone (484) 681-9485

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1316072481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE STE J4",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622489",
            "telephone_number": "484-681-9485",
            "fax_number": "484-681-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE STE J4",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622489",
            "telephone_number": "215-681-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.