Individual provider Active NPI

Eugene Vincent Timpano, DPM

  • Foot Surgery Podiatrist
  • Cinnaminson, NJ
National Provider Identifier
1508866427
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
MDO1381 Issued in NJ
Practice address
1701 Wynnwood Dr
Suite 4
Cinnaminson, NJ 08077-3033
Phone
(856) 786-2247
Fax
(856) 786-2713
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X MDO1381 NJ Primary

Addresses

Primary practice location

1701 Wynnwood Dr
Suite 4
Cinnaminson, NJ 08077-3033

Mailing address

1701 Wynnwood Dr
Suite 4
Cinnaminson, NJ 08077-3033
Phone (856) 786-2247

Other identifiers 1

IdentifierTypeStateIssuer
0273805MedicaidNJ

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
I20100929000892 NJ Practitioner - Podiatry 0941326714 Receives reassigned benefits from 1 practitioner
Practice locations: Cinnaminson, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 Wynwood Dr
Suite 4
Cinnaminson, NJ 08077-3033
Phone (856) 786-2247

Merit-based Incentive Payment System (MIPS)

Final score
93.43 of 100Reported as group
Quality
86.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue269
Removal of nail tissue1651
Removal or shaving of skin growth1208
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MDO1381NJMDFoot Surgery Podiatrist

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1508866427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WYNNWOOD DR",
            "address_2": "SUITE 4",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773033",
            "telephone_number": "856-786-2247",
            "fax_number": "856-786-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WYNNWOOD DR",
            "address_2": "SUITE 4",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773033",
            "telephone_number": "856-786-2247",
            "fax_number": "856-786-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMPANO",
        "first_name": "EUGENE",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MDO1381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

Verify at the official NPI Registry.