Individual provider Active NPI

Philip S. Messenger, DPM

  • Podiatrist
  • New York, NY
National Provider Identifier
1548213291
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003776-1 Issued in NY
Practice address
697 West End Avenue
1C
New York, NY 10025-3666
Phone
(212) 724-7050
Fax
(212) 501-0913
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003776-1 NY Primary
Podiatrist 213E00000X 25MD00274000 NJ

Addresses

Primary practice location

697 West End Avenue
1C
New York, NY 10025-3666

Mailing address

697 West End Ave
1C
New York, NY 10025-3666
Phone (212) 724-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20031104000519 NJ Practitioner - Podiatry 7214849553 Reassigns benefits to 1 organization
I20080912000353 NY Practitioner - Podiatry 7214849553 Reassigns benefits to 1 organization
O20100930020771 NY DME Supplier - Physician - Podiatry 9931314143 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

697 W End Ave
1C
New York, NY 10025-6919
Phone (212) 724-7050

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue365
Removal or shaving of skin growth658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00274000NJMDPodiatrist
N003776-1NYMDPodiatrist
003776NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Philip Messenger DPM PLLC CurrentSince Jan 1, 2013 Accepting new patients
Active Foot & Ankle Care, LLC Podiatrist CurrentSince Aug 1, 2006 Accepting new patients
Richard Collens MD PC Past Accepting new patients

Locations

140 Grand Ave
Englewood, NJ 07631
Phone (201) 569-7672

4-14 Saddle River Rd
Ste 101
Fair Lawn, NJ 07410
Phone (201) 569-7672

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1548213291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 WEST END AVE",
            "address_2": "1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253666",
            "telephone_number": "212-724-7050",
            "fax_number": "212-501-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 WEST END AVENUE",
            "address_2": "1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253666",
            "telephone_number": "212-724-7050",
            "fax_number": "212-501-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSENGER",
        "first_name": "PHILIP",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003776-1",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00274000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.