NPIMap

Individual provider Active NPI

Andre Ross, DPM

  • Foot & Ankle Surgery Podiatrist
  • Livingston, NJ
National Provider Identifier
1376960468
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00325900 Issued in NJ
Practice address
75 E Northfield Rd
Surgery Suite B
Livingston, NJ 07039-4532
Phone
(973) 436-1407
Fax
(185) 577-1068
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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 25MD00325900 NJ Primary

Addresses

Primary practice location

75 E Northfield Rd
Surgery Suite B
Livingston, NJ 07039-4532

Mailing address

75 E Northfield Rd
Surgery Suite B
Livingston, NJ 07039-4532
Phone (973) 436-1407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817002510 NJ Practitioner - Podiatry 2264747435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue62
Removal of skin lesions45
Removal of nail tissue70
Removal or shaving of skin growth16
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Jul 13, 2015 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Summit Medical Group PA CurrentSince Jul 13, 2015 Accepting new patients
Summit Medical Group, Inc Foot & Ankle Surgery Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

75 E Northfield Rd
Livingston, NJ 07039
Phone (973) 436-1330

75 E Northfield Rd
Ste B
Livingston, NJ 07039
Phone (973) 436-1407

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

Interoperability endpoints

  • Direct secure messaging: andre.ross.1@2983.direct.athenahealth.com
  • Direct secure messaging: andre.ross@direct.christhospital.md
  • Direct secure messaging: aross53791@epicdirect.rwjbh.org

Organizations & group practices 26

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.

View all 26

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1376960468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E NORTHFIELD RD",
            "address_2": "SURGERY SUITE B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394532",
            "telephone_number": "973-436-1407",
            "fax_number": "185-577-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E NORTHFIELD RD",
            "address_2": "SURGERY SUITE B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394532",
            "telephone_number": "973-436-1407",
            "fax_number": "185-577-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00325900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.