Individual provider Active NPI

Vilayvanh Sysounthone, DPM

  • Foot & Ankle Surgery Podiatrist
  • Parsippany, NJ
National Provider Identifier
1558312264
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00286300 Issued in NJ
Practice address
1259 US Highway 46
Building 3
Parsippany, NJ 07054-4913
Phone
(973) 263-5500
Fax
(973) 810-0943
NPI assigned
May 15, 2006
Last updated
Feb 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00286300 NJ Primary

Addresses

Primary practice location

1259 US Highway 46
Building 3
Parsippany, NJ 07054-4913

Mailing address

1259 US Highway 46
Building 3
Parsippany, NJ 07054-4913
Phone (973) 263-5500

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
I20070910000288 NJ Practitioner - Podiatry 7911090824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1031 McBride Ave
Suite C203
Woodland Park, NJ 07424-2526
Phone (973) 263-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue99
Removal of nail tissue364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ankle and Foot Center, LLC Foot & Ankle Surgery CurrentSince Dec 21, 2016 Accepting new patients
Feet N Beyond of New Jersey Professional Association Foot & Ankle Surgery CurrentSince May 1, 2011 Accepting new patients
Happy Feet Podiatry LLC Foot & Ankle Surgery Past Accepting new patients

Locations

188 Mountain Ave
Hackettstown, NJ 07840
Phone (908) 576-0880

1259 US Highway 46
Bldg 3
Parsippany, NJ 07054
Phone (973) 263-5500

748 US Highway 46
Parsippany, NJ 07054
Phone (973) 263-5500

1031 McBride Ave
Ste C203
Woodland Park, NJ 07424
Phone (201) 565-5676

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1558312264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 US HIGHWAY 46",
            "address_2": "BUILDING 3",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544913",
            "telephone_number": "973-263-5500",
            "fax_number": "973-810-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 US HIGHWAY 46",
            "address_2": "BUILDING 3",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544913",
            "telephone_number": "973-263-5500",
            "fax_number": "973-810-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYSOUNTHONE",
        "first_name": "VILAYVANH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00286300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.