Individual provider Active NPI

Tatiana S. Delaurentiis, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Plainfield, NJ
National Provider Identifier
1326207085
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00296400 Issued in NJ
Practice address
969 Woodland Ave
Plainfield, NJ 07060-3111
Phone
(908) 222-0798
NPI assigned
Jun 6, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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 25MD00296400 NJ Primary

Addresses

Primary practice location

969 Woodland Ave
Plainfield, NJ 07060-3111

Mailing address

969 Woodland Ave
Plainfield, NJ 07060-3111
Phone (908) 222-0798

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
I20091029000325 NJ Practitioner - Podiatry 9032256730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

591 Westfield Ave
Westfield, NJ 07090-3300
Phone (908) 654-1480

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00296400NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westfield Family Podiatry and Surgery CurrentSince Aug 1, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tatiana.delaurentiis@direct.digidms.com

Organizations & group practices 1

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1326207085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 WOODLAND AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603111",
            "telephone_number": "908-222-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 WOODLAND AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603111",
            "telephone_number": "908-222-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAURENTIIS",
        "first_name": "TATIANA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00296400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.