Active NPI
Jeffrey Robert Horowitz, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Pomona, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N005741
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02543608 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
11 Medical Park Dr
Pomona, NY 10970-3560
Phone (845) 362-0100
Hospital & facility affiliations
- Nyack Hospital
- Good Samaritan Hospital of Suffern
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 21 |
| Removal of skin lesions | 55 |
| Removal of nail tissue | 469 |
| Removal or shaving of skin growth | 136 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005741 | NY | MD | Clinical Psychologist |
| 005740 | NY | MD | Acupuncturist |
| 25MD00269600 | NJ | MD | Foot & Ankle Surgery Podiatrist |
| N005741 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palisades Podiatry Associates LLP | Foot & Ankle Surgery | Current | 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.
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.