Individual provider Active NPI

Kaitlyn Ann Testa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Springfield, NJ
National Provider Identifier
1386268530
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00370900 Issued in NJ
Practice address
500 Morris Ave Ste 203
Springfield, NJ 07081-1020
Phone
(973) 376-8210
Fax
(973) 258-0415
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 25MD00370900 NJ Primary

Addresses

Primary practice location

500 Morris Ave Ste 203
Springfield, NJ 07081-1020

Mailing address

500 Morris Ave Ste 203
Springfield, NJ 07081-1020
Phone (973) 376-8210

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
I20230306002491 NJ Practitioner - Podiatry 5395118798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essex Union Podiatry LLPGroup PAC ID 6901970904, 4 clinicians

Practice addresses (Care Compare)

500 Morris Ave
Suite 203
Springfield, NJ 07081-1020
Phone (973) 376-8210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions1-10
Removal of nail tissue880
Removal or shaving of skin growth396
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00370900NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 30, 2024 Accepting new patients
Essex Union Podiatry LLP Foot & Ankle Surgery CurrentSince Jul 1, 2023 Accepting new patients
Essex Union Podiatry LLP Foot & Ankle Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

376 Bloomfield Ave
Caldwell, NJ 07006
Phone (973) 226-2263

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

550 Newark Ave
Ste 102A
Jersey City, NJ 07306
Phone (332) 895-1728

187 Millburn Ave
Millburn, NJ 07041
Phone (973) 467-1466

175 High St
Newton, NJ 07860
Phone (973) 383-2121

1600 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 388-2375

1600 Saint Georges Ave
Ste 114
Rahway, NJ 07065
Phone (732) 388-2375

121 Center Grove Rd
Randolph, NJ 07869
Phone (973) 328-1414

500 Morris Ave
Ste 203
Springfield, NJ 07081
Phone (973) 376-8210

Organizations & group practices 3

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1386268530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MORRIS AVE STE 203",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811020",
            "telephone_number": "973-376-8210",
            "fax_number": "973-258-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MORRIS AVE STE 203",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811020",
            "telephone_number": "973-376-8210",
            "fax_number": "973-258-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTA",
        "first_name": "KAITLYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00370900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.