Individual provider Active NPI

Jeffrey Robert Horowitz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pomona, NY
National Provider Identifier
1457355000
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005741 Issued in NY
Practice address
11 Medical Park Dr
Ste 206
Pomona, NY 10970-3559
Phone
(845) 362-0100
Fax
(845) 362-0112
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N005741 NY Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00269600 NJ

Addresses

Primary practice location

11 Medical Park Dr
Ste 206
Pomona, NY 10970-3559

Mailing address

11 Medical Park Dr
Ste 206
Pomona, NY 10970-3559
Phone (845) 362-0100

Other identifiers 1

IdentifierTypeStateIssuer
02543608MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20040512001574 NY Practitioner - Podiatry 9234129214 Reassigns benefits to 1 organization
I20100622000177 NJ Practitioner - Podiatry 9234129214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palisades Podiatry Associates LLPGroup PAC ID 9638229479, 2 clinicians

Practice addresses (Care Compare)

11 Medical Park Dr
Pomona, NY 10970-3560
Phone (845) 362-0100

Hospital & facility affiliations

  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions55
Removal of nail tissue469
Removal or shaving of skin growth136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005741NYMDClinical Psychologist
005740NYMDAcupuncturist
25MD00269600NJMDFoot & Ankle Surgery Podiatrist
N005741NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Podiatry Associates LLP Foot & Ankle Surgery CurrentSince Feb 27, 2007 Accepting new patients

Locations

400 Franklin Tpke
Mahwah, NJ 07430
Phone (201) 760-1550

11 Medical Park Dr
Ste 206
Pomona, NY 10970
Phone (845) 362-0100

19 Old Tappan Rd
Tappan, NY 10983
Phone (845) 359-1200

Organizations & group practices 1

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1457355000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR",
            "address_2": "STE 206",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703559",
            "telephone_number": "845-362-0100",
            "fax_number": "845-362-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR",
            "address_2": "STE 206",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703559",
            "telephone_number": "845-362-0100",
            "fax_number": "845-362-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005741",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00269600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02543608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.