Individual provider Active NPI

Michael Joseph De Marco, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tinton Falls, NJ
National Provider Identifier
1376683979
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD001764 Issued in NJ
Practice address
13 Blueberry LN
Tinton Falls, NJ 07724-9731
Phone
(732) 922-3313
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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 Podiatrist 213ES0103X MD001764 NJ Primary

Addresses

Primary practice location

13 Blueberry LN
Tinton Falls, NJ 07724-9731

Mailing address

13 Blueberry LN
Tinton Falls, NJ 07724-9731
Phone (732) 922-3313

Other identifiers 1

IdentifierTypeStateIssuer
0905208MedicaidNJ

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
I20080403000077 NJ Practitioner - Podiatry 7416034293 Reassigns benefits to 1 organization
Practice locations: Tinton Falls, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monmouth Family Health Center, Inc 19 clinicians

Practice addresses (Care Compare)

270 Broadway
Long Branch, NJ 07740-7027
Phone (732) 923-7100

4057 Asbury Ave
Suite 6
Tinton Falls, NJ 07753-7700
Phone (732) 922-3313

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue84
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD001764NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Family Health Center, Inc CurrentSince Dec 28, 2009 Accepting new patients
Monmouth Family Health Center Inc Current Accepting new patients
Monmouth Family Health Center, Inc CurrentSince Dec 28, 2009 Accepting new patients
Erickson Health Medical Group of New Jersey PC Past Accepting new patients
Erickson Health Medical Group of New Jersey PC Past Accepting new patients

Locations

270 Broadway
Long Branch, NJ 07740
Phone (732) 923-7100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.demarco.p1@direct.mfhcnj.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1376683979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BLUEBERRY LN",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077249731",
            "telephone_number": "732-922-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BLUEBERRY LN",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077249731",
            "telephone_number": "732-922-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MARCO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD001764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0905208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

Verify at the official NPI Registry.