Active NPI
Michael Joseph De Marco, DPM
- Foot & Ankle Surgery Podiatrist
- Tinton Falls, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- MD001764
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0905208 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Saint Michael'S Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 84 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD001764 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monmouth Family Health Center, Inc | Current | Accepting new patients | |
| Monmouth Family Health Center Inc | Current | Accepting new patients | |
| Monmouth Family Health Center, Inc | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Federally Qualified Health Center (FQHC)
- Long Branch, NJ
- NPI 1962841502
NJ
-
- Federally Qualified Health Center (FQHC)
- Long Branch, NJ
- NPI 1073558391
-
- Federally Qualified Health Center (FQHC)
- Long Branch, NJ
- NPI 1669791869
-
- Federally Qualified Health Center (FQHC)
- Long Branch, NJ
- NPI 1790974996
-
- Internal Medicine Physician
- Tinton Falls, NJ
- NPI 1780604991
-
- Internal Medicine Physician
- Pompton Plains, NJ
- NPI 1992725832
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1568825545
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.