Organization Active NPI

Joseph Gardiner, DPM

  • Podiatrist
  • Bloomfield, NJ
National Provider Identifier
1407066962
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD01409 Issued in NJ
Legal business name
JOSEPH GARDINER, DPM
Practice address
135 Bloomfield Ave
Bloomfield, NJ 07003-5902
Phone
(973) 429-7000
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sandra Vazquez
Title
Office Manager
Phone
(973) 429-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MD01409 NJ Primary

Addresses

Primary practice location

135 Bloomfield Ave
Bloomfield, NJ 07003-5902

Mailing address

135 Bloomfield Ave
Bloomfield, NJ 07003-5902

Other identifiers 1

IdentifierTypeStateIssuer
DB0741OtherRAILROAD MEDICARE

Other names 1

  • Joseph Gardiner, DPM Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031211000049 NJ Part B Supplier - Clinic/Group Practice 3870499783 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield, NJ
O20100930057515 NJ DME Supplier - Physician - Podiatry 3870499783 Practice locations: Bloomfield, NJ

National Provider Directory

National Provider Directory

Locations

135 Bloomfield Ave
Ste A
Bloomfield, NJ 07003

135 Bloomfield Ave
Bloomfield, NJ 07003
Phone (973) 429-7000

1139 Lake Ave
Clark, NJ 07066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1407066962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035902",
            "telephone_number": "973-429-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH GARDINER, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-429-7000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB0741",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph Gardiner, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.