Individual provider Active NPI

Stacy David Treiman, D.P.M.

  • Podiatrist
  • Woodbury, NJ
National Provider Identifier
1568475606
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00219200 Issued in NJ
Practice address
297 Westwood Dr
Suite 106
Woodbury, NJ 08096-3144
Phone
(856) 848-6262
Fax
(856) 848-6649
NPI assigned
Aug 13, 2006
Last updated
Sep 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00219200 NJ Primary

Addresses

Primary practice location

297 Westwood Dr
Suite 106
Woodbury, NJ 08096-3144

Mailing address

297 Westwood Dr
Suite 106
West Deptford, NJ 08096-3144
Phone (856) 848-6262

Other identifiers 1

IdentifierTypeStateIssuer
5505003MedicaidNJ

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
I20080115000009 NJ Practitioner - Podiatry 3678654829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David and Gilbert D P M P aGroup PAC ID 5193783934, 2 clinicians

Practice addresses (Care Compare)

297 Westwood Dr
Suite 106
West Deptford, NJ 08096-3144
Phone (856) 848-6262

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of nail tissue799
Removal or shaving of skin growth493
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David & Gilbert D P M P a Podiatrist CurrentSince Jul 26, 1993 Accepting new patients

Locations

297 Westwood Dr
Ste 106
West Deptford, NJ 08096
Phone (609) 848-6262

Interoperability endpoints

  • Direct secure messaging: streiman@davidpodiatry.amazing-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1568475606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 WESTWOOD DR",
            "address_2": "SUITE 106",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963144",
            "telephone_number": "856-848-6262",
            "fax_number": "856-848-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 WESTWOOD DR",
            "address_2": "SUITE 106",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963144",
            "telephone_number": "856-848-6262",
            "fax_number": "856-848-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREIMAN",
        "first_name": "STACY",
        "middle_name": "DAVID",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00219200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5505003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.