Individual provider Active NPI

Matthew Francis Wachtler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cedar Grove, NJ
National Provider Identifier
1376835124
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00314900 Issued in NJ
Practice address
882 Pompton Ave Ste B1
Cedar Grove, NJ 07009-1256
Phone
(973) 857-1184
Fax
(973) 857-3114
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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 25MD00314900 NJ Primary

Addresses

Primary practice location

882 Pompton Ave Ste B1
Cedar Grove, NJ 07009-1256

Mailing address

882 Pompton Ave Ste B1
Cedar Grove, NJ 07009-1256
Phone (973) 857-1184

Other practice location 1

886 Pompton Ave
Suite # A1
Cedar Grove, NJ 07009-1257
Phone (973) 857-1184

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
I20121207000045 NJ Practitioner - Podiatry 5597917054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

882 Pompton Ave
Suite B1
Cedar Grove, NJ 07009-1256
Phone (973) 857-1184

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

Merit-based Incentive Payment System (MIPS)

Final score
82.07 of 100Reported as individual
Quality
67.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue92
Removal of skin lesions1-10
Removal of nail tissue955
Removal or shaving of skin growth79
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Grove Foot and Ankle Specialists P.C. Foot & Ankle Surgery CurrentSince Jul 5, 2016 Accepting new patients
Atlantic Health Partners PastSince Apr 30, 2023 Accepting new patients
Park Avenue Family Foot Care P.C. Foot & Ankle Surgery PastSince Jun 1, 2017 Accepting new patients
Cedar Grove Foot and Ankle Associates LLC Foot & Ankle Surgery Past Accepting new patients

Locations

886 Pompton Ave
Ste A1
Cedar Grove, NJ 07009
Phone (973) 857-1184

882 Pompton Ave
Ste B1
Cedar Grove, NJ 07009
Phone (973) 857-1184

Interoperability endpoints

  • Direct secure messaging: matthew.wachtler.1@20803.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20803/brand/1/csg/1/fhir/r4

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.

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1376835124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 POMPTON AVE STE B1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091256",
            "telephone_number": "973-857-1184",
            "fax_number": "973-857-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 POMPTON AVE STE B1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091256",
            "telephone_number": "973-857-1184",
            "fax_number": "973-857-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "886 Pompton Ave",
            "address_2": "Suite # A1",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "NJ",
            "postal_code": "070091257",
            "country_code": "US",
            "telephone_number": "973-857-1184",
            "fax_number": "973-857-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WACHTLER",
        "first_name": "MATTHEW",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00314900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.