Active NPI
Mary J Defranco, DPM
- Podiatrist
- Ridgewood, NJ
National Provider Identifier
1417938218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD01659
- Practice address
- 10 Wilsey SQ
Ridgewood, NJ 07450-3792 - Phone
- (201) 445-5545
- Fax
- (201) 445-8686
- NPI assigned
- Nov 9, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD01659 | NJ | Primary |
Addresses
Primary practice location
10 Wilsey SQ
Ridgewood, NJ 07450-3792
Mailing address
10 Wilsey SQ
Ridgewood, NJ 07450-3792
Phone (201) 445-5545
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061110000003 | NJ | Practitioner - Podiatry | 7113925934 | Practice locations: Ridgewood, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
89 N Maple Ave
Ridgewood, NJ 07450-3235
Phone (201) 445-5545
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 296 |
| Removal of skin lesions | 197 |
| Removal of nail tissue | 367 |
| Removal or shaving of skin growth | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD01659 | NJ | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417938218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WILSEY SQ",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503792",
"telephone_number": "201-445-5545",
"fax_number": "201-445-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WILSEY SQ",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503792",
"telephone_number": "201-445-5545",
"fax_number": "201-445-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFRANCO",
"first_name": "MARY",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD01659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.