Debra Beth Manheim, DPM
Individual provider
Active NPI
Podiatrist · Parsippany, NJ
NPI 1477552891 · NPPES record last updated Nov 7, 2011
Key facts
- NPI
- 1477552891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 25MD00276100 (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
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Jersey Podiatric Physicians and Surgeons Group, LLC (37 clinicians)
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 100 (group)
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|
| Removal of tissue | 82 |
| Removal of skin lesions | 11 |
| Removal of nail tissue | 1124 |
| Removal or shaving of skin growth | 540 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20040727000168 |
NJ |
Practitioner - Podiatry |
7416941182 |
Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 005828 | NY | MD | Acupuncturist |
| 65005828 | NY | MD | Primary Podiatric Medicine Podiatrist |
| 25MD00276100 | NJ | MD | Foot Surgery Podiatrist |
Practice roles
Interoperability endpoints
- Direct secure messaging: drdeb@sbsffcl-nj.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Podiatrist |
213E00000X |
25MD00276100 |
NJ |
Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 02264079 | Medicaid | NY | |
| P00650640 | Other | NJ | RAILROAD |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.