Individual provider Active NPI

Kiran Devaiah Poylangada, DPM

  • Foot & Ankle Surgery Podiatrist
  • Parsippany, NJ
National Provider Identifier
1568465037
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00277000 Issued in NJ
Practice address
50 Cherry Hill Rd
Parsippany, NJ 07054-1113
Phone
(973) 334-1770
Fax
(973) 334-2217
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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 25MD00277000 NJ Primary

Addresses

Primary practice location

50 Cherry Hill Rd
Parsippany, NJ 07054-1113

Mailing address

50 Cherry Hill Rd
Parsippany, NJ 07054-1113
Phone (973) 334-1770

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
I20050613000449 NJ Practitioner - Podiatry 0941243174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

50 Cherry Hill Rd
Suite 206
Parsippany, NJ 07054-1101
Phone (973) 334-1770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue67
Removal of nail tissue847
Removal or shaving of skin growth564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parsippany Foot & Ankle LLC CurrentSince Jan 9, 2010 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Mar 5, 2025 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

175 High St
Newton, NJ 07860
Phone (973) 383-2121

50 Cherry Hill Rd
Parsippany, NJ 07054
Phone (973) 257-9000

50 Cherry Hill Rd
Ste 206
Parsippany, NJ 07054
Phone (973) 334-1770

66 Towne Ctr
Ste 405
Succasunna, NJ 07876
Phone (973) 927-2525

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

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.

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1568465037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541113",
            "telephone_number": "973-334-1770",
            "fax_number": "973-334-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541113",
            "telephone_number": "973-334-1770",
            "fax_number": "973-334-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYLANGADA",
        "first_name": "KIRAN",
        "middle_name": "DEVAIAH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00277000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.