Individual provider Active NPI

Robert Edward Solomon, DPM

  • Podiatrist
  • Florham Park, NJ
National Provider Identifier
1366438442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00141900 Issued in NJ
Practice address
131 Columbia Tpke
Suite 2B
Florham Park, NJ 07932-2181
Phone
(973) 377-2770
Fax
(973) 377-3771
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00141900 NJ Primary

Addresses

Primary practice location

131 Columbia Tpke
Suite 2B
Florham Park, NJ 07932-2181

Mailing address

131 Columbia Tpke
Suite 2B
Florham Park, NJ 07932-2181
Phone (973) 377-2770

Other identifiers 1

IdentifierTypeStateIssuer
1288601MedicaidNJ

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
I20080403000361 NJ Practitioner - Podiatry 7012094832 Practice locations: Florham Park, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 Columbia Tpke
Florham Park, NJ 07932-2181
Phone (973) 377-2770

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions11
Removal of nail tissue587
Removal or shaving of skin growth170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00141900NJMDPodiatrist

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366438442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COLUMBIA TPKE",
            "address_2": "SUITE 2B",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322181",
            "telephone_number": "973-377-2770",
            "fax_number": "973-377-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COLUMBIA TPKE",
            "address_2": "SUITE 2B",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322181",
            "telephone_number": "973-377-2770",
            "fax_number": "973-377-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00141900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1288601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.