Active NPI
Steven Scott Spivak, DPM
- Podiatrist
- Lumberton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD002658
- Practice address
- 1561 4 Route 38
Lumberton, NJ 08048 - Phone
- (609) 261-2223
- Fax
- (609) 702-1111
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC 004635 L | PA | |
| Podiatrist | 213E00000X | MD002658 | NJ | Primary |
Addresses
Primary practice location
1561 4 Route 38
Lumberton, NJ 08048
Mailing address
1561 4 Route 38
Lumberton, NJ 08048
Phone (609) 261-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 544104 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1561 Route 38
Suite 4
Lumberton, NJ 08048-2939
Phone (609) 261-2223
2 Penn Blvd
Suite 116
Philadelphia, PA 19144-1402
Phone (215) 843-2330
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 732 |
| Removal or shaving of skin growth | 102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD002658 | NJ | MD | Podiatrist |
| SC 004635 L | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt. Holly Family Footcare | Current | Accepting new patients | |
| Port Richmond Family Foot Care,PC | Podiatrist | Current | Accepting new patients |
| Port Richmond Podiatry LLC. | Podiatrist | Current | Accepting new patients |
| Affiliated Podiatrists of South Jersey LTD | Podiatrist | Past | Accepting new patients |
Locations
1561 Route 38
Ste 4
Lumberton, NJ 08048
Phone (609) 261-2223
2416 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 426-8637
9990 Verree Rd
Philadelphia, PA 19115
Phone (215) 813-9292
2 Penn Blvd
Ste 116
Philadelphia, PA 19144
Phone (215) 843-2330
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/7753d029-0f68-4c26-8081-55eb23bb5866/
Organizations & group practices 4
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.
-
- Foot Surgery Podiatrist
- Lumberton, NJ
- NPI 1215205992
-
- Primary Podiatric Medicine Podiatrist
- Philadelphia, PA
- NPI 1841968302
-
- Foot & Ankle Surgery Podiatrist
- Vineland, NJ
- NPI 1295894558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1376509463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1561 4 ROUTE 38",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "08048",
"telephone_number": "609-261-2223",
"fax_number": "609-702-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 4 ROUTE 38",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "08048",
"telephone_number": "609-261-2223",
"fax_number": "609-702-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVAK",
"first_name": "STEVEN",
"middle_name": "SCOTT",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC 004635 L",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD002658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "544104",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.