Individual provider Active NPI

Sandra Rose Winiewicz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sicklerville, NJ
National Provider Identifier
1437445681
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00310100 Issued in NJ
Practice address
6 Flagstone Dr
Sicklerville, NJ 08081-1662
Phone
(570) 574-6182
Fax
(856) 482-7286
NPI assigned
Jun 27, 2011
Last updated
Jun 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00310100 NJ Primary

Addresses

Primary practice location

6 Flagstone Dr
Sicklerville, NJ 08081-1662

Mailing address

6 Flagstone Dr
Sicklerville, NJ 08081-1662
Phone (570) 574-6182

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
I20110920000568 NJ Practitioner - Podiatry 7618148826 Reassigns benefits to 1 organization
Practice locations: Moorestown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2184
Removal or shaving of skin growth182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00310100NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC CurrentSince Nov 14, 2016 Accepting new patients
Healthdrive Podiatry Group, PC CurrentSince Nov 14, 2016 Accepting new patients
Steven Reiner, DPM Past Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514

Interoperability endpoints

  • Direct secure messaging: swiniewicz@direct.meditouchehr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1437445681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FLAGSTONE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811662",
            "telephone_number": "570-574-6182",
            "fax_number": "856-482-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FLAGSTONE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811662",
            "telephone_number": "570-574-6182",
            "fax_number": "856-482-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINIEWICZ",
        "first_name": "SANDRA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00310100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.