Jack M Bondi, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MD002247 Issued in NJ

Practice address

438 Ganttown Rd
Suite B4
Sewell, NJ 08080-2341

Phone

(856) 589-0990

Fax

(856) 589-3254

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Foot and Ankle Specialists of NJ LLCGroup PAC ID 0547623332, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrated Foot and Ankle Specialists of NJ LLC

  • Foot & Ankle Surgery Podiatrist
  • Marlton, NJ
  • NPI 1679284285
  Medicare reassignment Care Compare group NPD
• Integrated Foot and Ankle Specialists of NJ LLC

  • Podiatric Clinic/Center
  • Cherry Hill, NJ
  • NPI 1851197545
  NPD
• Integrated Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Marlton, NJ
  • NPI 1275286940
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • Home Health Agency
  • Marlton, NJ
  • NPI 1316943004
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1508906371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 GANTTOWN RD",
            "address_2": "SUITE B4",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802341",
            "telephone_number": "856-589-0990",
            "fax_number": "856-589-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 GANTTOWN RD",
            "address_2": "SUITE B4",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802341",
            "telephone_number": "856-589-0990",
            "fax_number": "856-589-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDI",
        "first_name": "JACK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin Kathleen Boland, LCSW
• Frederick Charles Bonaccorsi, R.PH.
• Frederic D Bonfiglio, OPHTHALMIC DISPENSER
• Bridget Bonner, MSN, CRNP, CPNP-PC
• Mary E Bonner, PT
• Robin Bonner, M.S., CCC-SLP
• Boro of Pitman EMS

• Podiatrist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.