Michael Banh, DPM

Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Lawrenceville, NJ

NPI 1356779540 · NPPES record last updated Apr 10, 2020

Key facts

NPI
1356779540
Entity type
Individual (NPI type 1)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
License
25MD00336500 (NJ)
Practice address
132 Franklin Corner Rd Ste C-1
Lawrenceville, NJ 08648-2523
Phone
(609) 512-1381
NPI assigned
Oct 24, 2013
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Podiatric Physicians and Surgeons Group, LLC (37 clinicians)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170718001446 NJ Practitioner - Podiatry 6709172901 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Camcare Health Corporation Single Specialty Current Accepting new patients
Camcare Health Corporation Current
since Jan 7, 2019
Accepting new patients
Camcare Health Corporation Current
since 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213ES0103X 25MD00336500 NJ Yes

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

Other providers in Lawrenceville, NJ

All providers in Lawrenceville, NJ · Foot & Ankle Surgery Podiatrist in New Jersey

Sources for this page

Verify at the official NPI Registry.