Individual provider Active NPI

Warren A Chiodo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Newark, NJ
National Provider Identifier
1356582126
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00308300 Issued in NJ
Practice address
150 Bergen St
G142
Newark, NJ 07103-2496
Phone
(201) 638-4061
NPI assigned
Mar 9, 2009
Last updated
Oct 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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 NU
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00308300 NJ Primary

Addresses

Primary practice location

150 Bergen St
G142
Newark, NJ 07103-2496

Mailing address

400 State RT 17
G142
Ridgewood, NJ 07450-2010
Phone (201) 638-4061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA, WV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110602000303 NJ Practitioner - Podiatry 3779760624 Reassigns benefits to 3 organizations
I20190110001822 NY Practitioner - Podiatry 3779760624 Practice locations: Flushing, NY
I20221130000324 PA Practitioner - Podiatry 3779760624
I20231114003790 WV Practitioner - Podiatry 3779760624

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialty LLCGroup PAC ID 0446386908, 4 clinicians

Practice addresses (Care Compare)

16 N Washington Ave
Bergenfield, NJ 07621-2126
Phone (201) 721-6827

2050 Oak Tree Rd
Edison, NJ 08820-2012
Phone (201) 721-6827

225 N Ctr Dr
North Brunswick, NJ 08902-4247
Phone (201) 721-6827

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 721-6827

290 Chestnut St
Newark, NJ 07105-6523
Phone (201) 721-6827

36 Meridian Rd
Edison, NJ 08820-2823
Phone (201) 721-6827

53 -57 W Fortlee Rd
Bogota, NJ 07603-1201
Phone (201) 721-6827

540 Bordentown Ave
Suite 10B
South Amboy, NJ 08879-1576
Phone (201) 721-6827

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
95.04 of 100Reported as group
Quality
100
Improvement activities
40
Cost
55.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1643
Removal or shaving of skin growth844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00308300NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Noah Medical Wellness Center CurrentSince Oct 5, 2023 Accepting new patients
Ambulatory Pain and Disability Management Center LLC Current Accepting new patients
Pain and Disability Institute, P.C. CurrentSince Jan 18, 2023 Accepting new patients
On the Go Podiatry Current Accepting new patients
Jay M Purvin, DPM Foot & Ankle Surgery Past Accepting new patients

Locations

191 Palisade Ave
Jersey City, NJ 07306
Phone (201) 656-4324

191 Palisade Ave
Ste 219
Jersey City, NJ 07306

1400 Saratoga Ave
Morgantown, WV 26505
Phone (304) 599-1680

50 Harmony Dr
Morgantown, WV 26505
Phone (304) 244-5154

Organizations & group practices 7

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1356582126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STATE RT 17",
            "address_2": "G142",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502010",
            "telephone_number": "201-638-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "address_2": "G142",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "201-638-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIODO",
        "first_name": "WARREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00308300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.