Individual provider Active NPI

Rodmehr Ajdari, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vineland, NJ
National Provider Identifier
1467716092
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00327800 Issued in NJ
Practice address
150 S Main Rd
Vineland, NJ 08360-7828
Phone
(856) 691-2152
NPI assigned
Jun 28, 2012
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC006354 PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC006354 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00327800 NJ Primary

Addresses

Primary practice location

150 S Main Rd
Vineland, NJ 08360-7828

Mailing address

150 S Main Rd
Vineland, NJ 08360-7828
Phone (856) 691-2152

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
I20150828001024 NJ Practitioner - Podiatry 2163738659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Podiatrists of South Jersey LTDGroup PAC ID 0749208684, 5 clinicians

Practice addresses (Care Compare)

150 S Main Rd
Vineland, NJ 08360-7828
Phone (856) 691-2152

500 Front St
Elmer, NJ 08318-2178
Phone (856) 358-8661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue116
Removal of skin lesions1-10
Removal of nail tissue1285
Removal or shaving of skin growth736
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006354PAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Podiatrists of South Jersey LTD Primary Podiatric Medicine CurrentSince Aug 1, 2015 Accepting new patients
Chestnut Hill Podiatry Associates,P.C. PastSince Jan 1, 2002 Accepting new patients
Don S. Cooper DC PC Past Accepting new patients

Locations

193 W Commerce St
Bridgeton, NJ 08302
Phone (856) 451-2858

29 E Mechanic St
Cape May Court House, NJ 08210
Phone (609) 465-1644

150 S Main Rd
Vineland, NJ 08360
Phone (609) 691-2152

238 W Chestnut Ave
Vineland, NJ 08360
Phone (609) 691-2152

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7753d029-0f68-4c26-8081-55eb23bb5866/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/78452970-88d1-4fec-b2cf-4da4ec4eae0d/

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.

Hospital & facility affiliations 1

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1467716092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607828",
            "telephone_number": "856-691-2152",
            "fax_number": "856-696-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607828",
            "telephone_number": "856-691-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJDARI",
        "first_name": "RODMEHR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC006354",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006354",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00327800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.