Eric Robert Nisenson, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00148000 Issued in NJ

Practice address

3 Sedgefield Dr
Morris Plains, NJ 07950-3032

Phone

(973) 539-7550

Fax

(973) 539-1395

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT, 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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1407992126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SEDGEFIELD DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503032",
            "telephone_number": "973-539-7550",
            "fax_number": "973-539-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SEDGEFIELD DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503032",
            "telephone_number": "973-539-7550",
            "fax_number": "973-539-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISENSON",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00148000",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VT",
            "license": "0560000179",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1742400",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN3362",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Muller-Ackerman, MA, LPC
• Shannon Marie Mulvey, DC
• N. Nasser, Inc.
• Kayla Brianne Naiman, MA, LAC, NCC
• New Views Treatment Program, Inc.
• Joseph A. Novak, BCBA-D, CCC-SLP, ATP
• Samantha Lynn Nudo, M.S.
• James O'Rourke I
• Esohe Grace Obasohan, APN
• Ejiro Oduntan

• All providers in Morris Plains, NJ
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.