Individual provider Active NPI

Domenic Joseph Leonetti, DPM

  • Foot & Ankle Surgery Podiatrist
  • Manalapan, NJ
National Provider Identifier
1386986008
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00316200 Issued in NJ
Practice address
224 Taylors Mills Rd Ste 111
Manalapan, NJ 07726-3281
Phone
(732) 780-7331
Fax
(732) 362-7840
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 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 25MD00316200 NJ Primary

Addresses

Primary practice location

224 Taylors Mills Rd Ste 111
Manalapan, NJ 07726-3281

Mailing address

224 Taylors Mills Rd Ste 111
Manalapan, NJ 07726-3281
Phone (732) 780-7331

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
I20140822000623 NJ Practitioner - Podiatry 3577781244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leonetti Associates CurrentSince Nov 6, 2025 Accepting new patients

Locations

602 Livingston Ave
North Brunswick, NJ 08902
Phone (732) 246-1377

Interoperability endpoints

  • Direct secure messaging: domenic.leonetti.1@8568.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1386986008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TAYLORS MILLS RD STE 111",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263281",
            "telephone_number": "732-780-7331",
            "fax_number": "732-362-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TAYLORS MILLS RD STE 111",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263281",
            "telephone_number": "732-780-7331",
            "fax_number": "732-362-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONETTI",
        "first_name": "DOMENIC",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00316200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.