Individual provider Active NPI

Marc Bozzetti, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hackensack, NJ
National Provider Identifier
1447349451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD02077 Issued in NJ
Practice address
50 Clinton PL
Hackensack, NJ 07601-4579
Phone
(201) 487-4443
Fax
(201) 487-0065
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD02077 NJ Primary

Addresses

Primary practice location

50 Clinton PL
Hackensack, NJ 07601-4579

Mailing address

50 Clinton PL
Hackensack, NJ 07601-4579
Phone (201) 487-4443

Other identifiers 1

IdentifierTypeStateIssuer
5230501MedicaidNJ

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
I20101111001185 NJ Practitioner - Podiatry 4486716891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

170 Prospect Ave
Suite 3
Hackensack, NJ 07601-1834
Phone (201) 487-4443

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue135
Removal of nail tissue528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD02077NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Quality Foot Care, P.a. Foot & Ankle Surgery CurrentSince Sep 24, 1991 Accepting new patients

Locations

170 Prospect Ave
Ste 3
Hackensack, NJ 07601
Phone (201) 487-4443

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.

Hospital & facility affiliations 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447349451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CLINTON PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014579",
            "telephone_number": "201-487-4443",
            "fax_number": "201-487-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CLINTON PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014579",
            "telephone_number": "201-487-4443",
            "fax_number": "201-487-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZETTI",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD02077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5230501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.