Skyline Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SKYLINE PODIATRY

Practice address

52 Skyline Dr
Ringwood, NJ 07456-2020

Phone

(631) 804-8897

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Justin Donovan, DPMNPI 1831570159

Title

Podiatrist

Phone

(973) 962-7775

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Donovan, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1831570159

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1346989712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SKYLINE DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562020",
            "telephone_number": "973-962-7775",
            "fax_number": "973-869-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 SKYLINE DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562020",
            "telephone_number": "631-804-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "973-962-7775",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0658219",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.skylinepodiatry.com",
            "affiliation": "N",
            "address_1": "52 Skyline Dr",
            "city": "Ringwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074562020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mina Seliman
• Madlen Setian
• Maria Setti, MSW
• Skyline Counseling and Psychotherapy LLC
• Skyline Family Eyecare PA
• Smile Loft Dentistry Ringwood, LLC
• Nancy Smith
• Nancy A. Smith, CMT
• Jordanna Spaulding
• Spectrum for Living Development, Inc.

• Foot & Ankle Surgery Podiatrist in Ringwood, NJ
• Providers in Ringwood, 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 Sep 29, 2022; 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.