Individual provider Active NPI

Ana Maria Pimentel, D.P.M.

  • Podiatrist
  • Hackensack, NJ
National Provider Identifier
1528516663
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00333000 Issued in NJ
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20171109000639 NJ Practitioner - Podiatry 3577829472 Reassigns benefits to 2 organizations

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
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of skin lesions13
Removal of nail tissue237
Removal or shaving of skin growth20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00333000NJMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Apr 12, 2021 Accepting new patients
Summit Medical Group PA CurrentSince Apr 12, 2021 Accepting new patients
Active Orthopedics and Sports Medicine, LLC CurrentSince Sep 16, 2017 Accepting new patients
Active Orthopedics & Sports Medicine LLC CurrentSince Sep 16, 2017 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

  • Direct secure messaging: ana.pimentel.1@2983.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.