Individual provider Active NPI

Debra Beth Manheim, DPM

  • Podiatrist
  • Parsippany, NJ
National Provider Identifier
1477552891
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00276100 Issued in NJ
Practice address
3219 Route 46
Suite 210
Parsippany, NJ 07054-1278
Phone
(973) 917-3785
Fax
(973) 917-3786
NPI assigned
Jul 18, 2005
Last updated
Nov 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00276100 NJ Primary
Podiatrist 213E00000X 65005828 NY
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00276100 NJ
Primary Podiatric Medicine Podiatrist 213EP1101X 65005828 NY
Foot Surgery Podiatrist 213ES0131X 25MD00276100 NJ
Foot Surgery Podiatrist 213ES0131X 65005828 NY

Addresses

Primary practice location

3219 Route 46
Suite 210
Parsippany, NJ 07054-1278

Mailing address

95 Clarken Dr
West Orange, NJ 07052-3444
Phone (973) 917-3785

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
I20040727000168 NJ Practitioner - Podiatry 7416941182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3219 Route 46
Suite 210
Parsippany, NJ 07054-1283
Phone (973) 917-3785

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue82
Removal of skin lesions11
Removal of nail tissue1124
Removal or shaving of skin growth540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65005828NYMDPodiatrist
25MD00276100NJMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paramus Foot and Ankle Center Past Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Podiatrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drdeb@sbsffcl-nj.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1477552891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CLARKEN DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523444",
            "telephone_number": "973-917-3785",
            "fax_number": "973-917-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 ROUTE 46",
            "address_2": "SUITE 210",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541278",
            "telephone_number": "973-917-3785",
            "fax_number": "973-917-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANHEIM",
        "first_name": "DEBRA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00276100",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "65005828",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00276100",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "65005828",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00276100",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "65005828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.