Individual provider Active NPI

Brian Meyerberg, DPM

  • Primary Podiatric Medicine Podiatrist
  • Whiting, NJ
National Provider Identifier
1407845142
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
MD002137 Issued in NJ
Practice address
67 Lacey Rd Ste 2
Whiting, NJ 08759-2912
Phone
(732) 849-1115
Fax
(732) 849-1064
NPI assigned
Oct 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X MD002137 NJ Primary

Addresses

Primary practice location

67 Lacey Rd Ste 2
Whiting, NJ 08759-2912

Mailing address

67 Lacey Rd Ste 2
Whiting, NJ 08759-2912
Phone (732) 849-1115

Other identifiers 2

IdentifierTypeStateIssuer
480018620OtherNJPALMETTO GBA RAILROAD
5614805MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080919000165 NJ Practitioner - Podiatry 8729155650 Practice locations: Manahawkin, NJ; Whiting, NJ
O20100930030034 NJ DME Supplier - Physician - Podiatry 7618180837 Practice locations: Whiting, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

67 Lacey Rd
Suite 2
Whiting, NJ 08759-2912
Phone (732) 849-1115

Merit-based Incentive Payment System (MIPS)

Final score
59.05 of 100Reported as individual
Quality
21.67
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue188
Removal of skin lesions1-10
Removal of nail tissue3591
Removal or shaving of skin growth1705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD002137NJMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
BC Medical Care LLC PastSince Apr 16, 2009 Accepting new patients
Joffe Chiropractic PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1407845142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LACEY RD STE 2",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592912",
            "telephone_number": "732-849-1115",
            "fax_number": "732-849-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 LACEY RD STE 2",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592912",
            "telephone_number": "732-849-1115",
            "fax_number": "732-849-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERBERG",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-15",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "MD002137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "480018620",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5614805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

Verify at the official NPI Registry.