Individual provider Active NPI

Joseph Picciotti, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hammonton, NJ
National Provider Identifier
1396054722
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00111800 Issued in NJ
Practice address
2 8TH St
Hammonton, NJ 08037-3347
Phone
(609) 704-5815
Fax
(609) 270-7932
NPI assigned
Oct 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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 25MD00111800 NJ Primary

Addresses

Primary practice location

2 8TH St
Hammonton, NJ 08037-3347

Mailing address

2 8TH St
Hammonton, NJ 08037-3347
Phone (609) 704-5815

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
I20110224000004 NJ Practitioner - Podiatry 1153502141 Practice locations: Hammonton, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
25MD00111800NJMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1396054722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 8TH ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080373347",
            "telephone_number": "609-704-5815",
            "fax_number": "609-270-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 8TH ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080373347",
            "telephone_number": "609-704-5815",
            "fax_number": "609-270-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIOTTI",
        "first_name": "JOSEPH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00111800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.