Active NPI
Ana Maria Pimentel, D.P.M.
- Podiatrist
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00333000
- Practice address
- 25 Prospect Ave
Hackensack, NJ 07601-1960 - Phone
- (201) 343-2277
- Fax
- (201) 343-7410
- NPI assigned
- Sep 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 25MD00333000 | NJ | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00333000 | NJ | |
| Podiatrist | 213E00000X | 25MD00333000 | NJ | Primary |
Addresses
Primary practice location
25 Prospect Ave
Hackensack, NJ 07601-1960
Mailing address
25 Prospect Ave
Hackensack, NJ 07601-1960
Phone (201) 343-2277
Other practice location 1
440 Old Hook Rd
Emerson, NJ 07630-2302
Phone (201) 358-0707
Other practice location 2
67 Broadway
Elmwood Park, NJ 07407-1836
Phone (201) 904-2400
Other practice location 3
1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 680-7831
Other names 1
- Ana Maria Pimentel-Tejeda
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Hospital & facility affiliations
- Hackensack Meridian Mountainside Medical
- Hackensack University Medical Center
- St Joseph'S University Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 14 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 237 |
| Removal or shaving of skin growth | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00333000 | NJ | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Active Orthopedics and Sports Medicine, LLC | Current | Accepting new patients | |
| Active Orthopedics & Sports Medicine LLC | Current | Accepting new patients | |
| Summit Medical Group, Inc | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
67 Broadway
Elmwood Park, NJ 07407
Phone (201) 358-0707
440 Old Hook Rd
Emerson, NJ 07630
Phone (201) 265-4400
25 Prospect Ave
Ste 2
Hackensack, NJ 07601
Phone (201) 343-2277
25 Prospect Ave
Hackensack, NJ 07601
Phone (201) 343-2277
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
Interoperability endpoints
- ana.pimentel.1@2983.direct.athenahealth.com
- apimentel198155@ahs.direct-ci.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Hackensack, NJ
- NPI 1922389600
-
- Orthopaedic Surgery Physician
- Montclair, NJ
- NPI 1659738193
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Foot & Ankle Surgery
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1528516663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011960",
"telephone_number": "201-343-2277",
"fax_number": "201-343-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011960",
"telephone_number": "201-343-2277",
"fax_number": "201-343-7410"
}
],
"practiceLocations": [
{
"address_1": "440 Old Hook Rd",
"address_purpose": "LOCATION",
"city": "Emerson",
"state": "NJ",
"postal_code": "076302302",
"country_code": "US",
"telephone_number": "201-358-0707",
"fax_number": "201-358-9777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "67 Broadway",
"address_purpose": "LOCATION",
"city": "Elmwood Park",
"state": "NJ",
"postal_code": "074071836",
"country_code": "US",
"telephone_number": "201-904-2400",
"fax_number": "201-343-7410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Bay Ave",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "NJ",
"postal_code": "070424837",
"country_code": "US",
"telephone_number": "973-680-7831",
"fax_number": "973-680-7839",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIMENTEL",
"first_name": "ANA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NJ",
"license": "25MD00333000",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00333000",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00333000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANA",
"last_name": "PIMENTEL-TEJEDA",
"middle_name": "MARIA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.