Individual provider Active NPI

Allie P Cohen Deblase, D.P.M.

  • Podiatrist
  • Manalapan, NJ
National Provider Identifier
1407242621
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00350700 Issued in NJ
Practice address
223 Taylors Mills Rd
Manalapan, NJ 07726-3229
Phone
(732) 780-8787
Fax
(732) 577-1106
NPI assigned
Apr 14, 2015
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00350700 NJ Primary

Addresses

Primary practice location

223 Taylors Mills Rd
Manalapan, NJ 07726-3229

Mailing address

223 Taylors Mills Rd
Manalapan, NJ 07726-3229
Phone (732) 780-8787

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
I20190806001723 NJ Practitioner - Podiatry 1355681966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marlboro Podiatry Center LLCGroup PAC ID 8426464595, 4 clinicians

Practice addresses (Care Compare)

223 Taylors Mills Rd
Manalapan, NJ 07726-3229
Phone (732) 780-8787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.58 of 100Reported as individual
Quality
70.42
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue345
Removal of skin lesions16
Removal of nail tissue774
Removal or shaving of skin growth92
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00350700NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marlboro Podiatry Center LLC Podiatrist CurrentSince Jan 1, 2021 Accepting new patients

Locations

223 Taylors Mills Rd
Manalapan, NJ 07726
Phone (732) 414-6060

Interoperability endpoints

  • Direct secure messaging: acohen425044@direct.ahsys.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1407242621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263229",
            "telephone_number": "732-780-8787",
            "fax_number": "732-577-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263229",
            "telephone_number": "732-780-8787",
            "fax_number": "732-577-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN DEBLASE",
        "first_name": "ALLIE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00350700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.