Individual provider Active NPI

Vincent Phillip Delle Grotti, DPM

  • Foot Surgery Podiatrist
  • New Egypt, NJ
National Provider Identifier
1477520567
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00263400 Issued in NJ
Practice address
10 Main St
Suite E
New Egypt, NJ 08533-1400
Phone
(609) 758-8008
Fax
(609) 758-8006
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 25MD00263400 NJ Primary

Addresses

Primary practice location

10 Main St
Suite E
New Egypt, NJ 08533-1400

Mailing address

10 Main St
Suite E
New Egypt, NJ 08533-1400
Phone (609) 758-8008

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
I20040518000127 NJ Practitioner - Podiatry 9335139617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Shore Foot and Leg Center P CGroup PAC ID 3971596297, 2 clinicians

Practice addresses (Care Compare)

10 Main St
New Egypt, NJ 08533-1400
Phone (609) 758-8008

890 W Bay Ave
Barnegat, NJ 08005-2150
Phone (609) 698-2600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions31
Removal of nail tissue733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric Wellness Sports Medicine Center Inc Foot Surgery CurrentSince Sep 1, 2008 Accepting new patients
Jersey Shore Foot and Leg Center PC CurrentSince Apr 29, 2004 Accepting new patients

Locations

890 W Bay Ave
Barnegat, NJ 08005
Phone (609) 698-2600

1 Pelican Dr
Ste 8
Bayville, NJ 08721
Phone (732) 269-1133

10 Main St
Apt E
New Egypt, NJ 08533
Phone (609) 758-8008

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1477520567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "address_2": "SUITE E",
            "city": "NEW EGYPT",
            "state": "NJ",
            "postal_code": "085331400",
            "telephone_number": "609-758-8008",
            "fax_number": "609-758-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "address_2": "SUITE E",
            "city": "NEW EGYPT",
            "state": "NJ",
            "postal_code": "085331400",
            "telephone_number": "609-758-8008",
            "fax_number": "609-758-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLE GROTTI",
        "first_name": "VINCENT",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00263400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Egypt, NJ

Sources for this page

Verify at the official NPI Registry.