Individual provider Active NPI

Merihan Botros

  • Foot & Ankle Surgery Podiatrist
  • West Orange, NJ
National Provider Identifier
1497140784
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00339800 Issued in NJ
Practice address
1500 Pleasant Valley Way Ste 204
West Orange, NJ 07052
Phone
(973) 731-1266
NPI assigned
Apr 2, 2015
Last updated
Jul 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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 25MD00339800 NJ Primary

Addresses

Primary practice location

1500 Pleasant Valley Way Ste 204
West Orange, NJ 07052

Mailing address

1500 Pleasant Valley Way Ste 204
West Orange, NJ 07052-2956
Phone (551) 358-3892

Other practice location 1

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000

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
I20180813003150 NJ Practitioner - Podiatry 5294083986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Foot and AnkleGroup PAC ID 0547684011, 5 clinicians
Michael Vincent Verdi DPMGroup PAC ID 8123233517, 5 clinicians

Practice addresses (Care Compare)

121 Ctr Grove Rd
Randolph, NJ 07869-4453
Phone (973) 366-1016

1500 Pleasant Valley Way
204 Foot Health Center LLC
West Orange, NJ 07052-2956
Phone (973) 731-1266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions13
Removal of nail tissue217
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Podiatric Physicians & Surgeons Group, LLC CurrentSince Nov 15, 2024 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Foot & Ankle Surgery Current Accepting new patients
Michael Vincent Verdi DPM Foot & Ankle Surgery CurrentSince Jul 2, 2018 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group LLC Foot & Ankle Surgery CurrentSince Nov 15, 2024 Accepting new patients
Dynamic Foot & Ankle Foot & Ankle Surgery CurrentSince Nov 1, 2025 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

4633 US Highway 9
Howell, NJ 07731
Phone (732) 994-5333

85 S Jefferson St
Ste 2
Orange, NJ 07050
Phone (732) 994-5333

121 Center Grove Rd
Randolph, NJ 07869
Phone (973) 361-3737

1500 Pleasant Valley Way
Ste 204
West Orange, NJ 07052
Phone (923) 731-1266

Interoperability endpoints

  • Direct secure messaging: merihanb@fhcl-nj.direct.office.nextgen.com
  • Direct secure messaging: motros@foothealth.md.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1497140784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY STE 204",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "551-358-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY STE 204",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-731-1266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 Old Short Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395672",
            "country_code": "US",
            "telephone_number": "973-322-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTROS",
        "first_name": "MERIHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00339800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.