Individual provider Active NPI

Michael Banh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lawrenceville, NJ
National Provider Identifier
1356779540
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00336500 Issued in NJ
Practice address
132 Franklin Corner Rd Ste C-1
Lawrenceville, NJ 08648-2523
Phone
(609) 512-1381
NPI assigned
Oct 24, 2013
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00336500 NJ Primary

Addresses

Primary practice location

132 Franklin Corner Rd Ste C-1
Lawrenceville, NJ 08648-2523

Mailing address

132 Franklin Corner Rd Ste C-1
Lawrenceville, NJ 08648-2523
Phone (609) 512-1381

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
I20170718001446 NJ Practitioner - Podiatry 6709172901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

132 Franklin Corner Rd
Lawrenceville, NJ 08648-2523
Phone (609) 512-1381

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions31
Removal of nail tissue581
Removal or shaving of skin growth120
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00336500NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Camcare Health Corporation Single Specialty Current Accepting new patients
Camcare Health Corporation CurrentSince Jan 7, 2019 Accepting new patients
Camcare Health Corporation CurrentSince Jan 7, 2019 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Single Specialty Past Accepting new patients

Locations

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

Interoperability endpoints

  • Direct secure messaging: michael.banh@lfc-vt.direct.office.nextgen.com

Organizations & group practices 5

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": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1356779540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FRANKLIN CORNER RD STE C-1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482523",
            "telephone_number": "609-512-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FRANKLIN CORNER RD STE C-1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482523",
            "telephone_number": "609-512-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00336500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.