Individual provider Active NPI

Edward Richard Nieuwenhuis Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Wyckoff, NJ
National Provider Identifier
1477573541
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD02125 Issued in NJ
Practice address
350 Franklin Ave
Suite 2
Wyckoff, NJ 07481-1909
Phone
(201) 891-4930
Fax
(201) 891-4715
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD02125 NJ Primary

Addresses

Primary practice location

350 Franklin Ave
Suite 2
Wyckoff, NJ 07481-1909

Mailing address

350 Franklin Ave
Suite 2
Wyckoff, NJ 07481-1909
Phone (201) 891-4930

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
I20081231000336 NJ Practitioner - Podiatry 2264594399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

350 Franklin Ave
Wyckoff, NJ 07481-1909
Phone (201) 891-4930

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue503
Removal of skin lesions1-10
Removal of nail tissue1863
Removal or shaving of skin growth258
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD02125NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Foot and Ankle Foot & Ankle Surgery CurrentSince Jun 8, 2023 Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Jul 10, 2023 Accepting new patients
Foot & Ankle Associates of Wyckoff Foot & Ankle Surgery CurrentSince Jul 28, 2008 Accepting new patients
Proactive Foot and Ankle CurrentSince Jun 8, 2023 Accepting new patients
Surgicare Surgical Associates of Ridgewood, LLC Current Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Jul 10, 2023 Accepting new patients

Locations

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

130 Maple Ave
Ste 3B
Red Bank, NJ 07701
Phone (732) 747-2111

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

350 Franklin Ave
Wyckoff, NJ 07481
Phone (201) 257-5222

350 Franklin Ave
#2
Wyckoff, NJ 07481
Phone (201) 891-4930

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1477573541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FRANKLIN AVE",
            "address_2": "SUITE 2",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811909",
            "telephone_number": "201-891-4930",
            "fax_number": "201-891-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FRANKLIN AVE",
            "address_2": "SUITE 2",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811909",
            "telephone_number": "201-891-4930",
            "fax_number": "201-891-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEUWENHUIS",
        "first_name": "EDWARD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD02125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

Verify at the official NPI Registry.