Individual provider Active NPI

Michael Lawrence Monter, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
National Provider Identifier
1497081228
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00300400 Issued in NJ
Practice address
8021 Philips Hwy Ste 1
Jacksonville, FL 32256-7460
Phone
(904) 323-0954
Fax
(904) 660-2125
NPI assigned
Oct 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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 25MD00300400 NJ Primary

Addresses

Primary practice location

8021 Philips Hwy Ste 1
Jacksonville, FL 32256-7460

Mailing address

2050 State Route 27
Suite 101
North Brunswick, NJ 08902-1380
Phone (732) 232-7787

Other identifiers 2

IdentifierTypeStateIssuer
810687502OtherFLTAX ID
PO4347OtherFLMEDICAL LICENSE FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110125000573 NJ Practitioner - Podiatry 8426237348 Reassigns benefits to 1 organization
I20220509001171 FL Practitioner - Podiatry 8426237348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Foot Care and Wellness Clinic, LLCGroup PAC ID 3870892805, 13 clinicians

Practice addresses (Care Compare)

8021 Philips Hwy
Suite 1
Jacksonville, FL 32256-7460
Phone (904) 323-0954

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions35
Removal of nail tissue848
Removal or shaving of skin growth455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Foot Care and Wellness Clinic, LLC Foot & Ankle Surgery CurrentSince Apr 25, 2022 Accepting new patients
Affiliated Podiatrists of South Jersey LTD Foot & Ankle Surgery CurrentSince May 4, 2015 Accepting new patients
Clay County Podiatry Associates PA PastSince Apr 25, 2022 Accepting new patients
Princeton Foot and Ankle Associates Foot & Ankle Surgery Past Accepting new patients

Locations

1215 Dunn Ave
Ste 3
Jacksonville, FL 32218
Phone (904) 323-0954

8021 Philips Hwy
Ste 1
Jacksonville, FL 32256
Phone (904) 323-0954

6500 Fort Caroline Rd
Ste A
Jacksonville, FL 32277
Phone (904) 323-0954

8613 Old Kings Rd S
Ste 301
Jacksonville, FL 32217
Phone (904) 323-0954

630 Jacksonville Dr
Jax Bch, FL 32250
Phone (904) 249-4645

430 College Dr
Ste 115
Middleburg, FL 32068
Phone (904) 291-4885

1615 Corsair Ln
Middleburg, FL 32068
Phone (904) 323-0954

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/7753d029-0f68-4c26-8081-55eb23bb5866/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFJGBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1497081228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 STATE ROUTE 27",
            "address_2": "SUITE 101",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021380",
            "telephone_number": "732-232-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 PHILIPS HWY STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567460",
            "telephone_number": "904-323-0954",
            "fax_number": "904-660-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTER",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00300400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "810687502",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE FL",
            "identifier": "PO4347",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.