Individual provider Active NPI

John Mostafa, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Brick, NJ
National Provider Identifier
1598058554
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00320900 Issued in NJ
Practice address
292 Herbertsville Rd
Brick, NJ 08724-1734
Phone
(732) 840-8989
Fax
(732) 840-9135
NPI assigned
May 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 006735 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00320900 NJ Primary

Addresses

Primary practice location

292 Herbertsville Rd
Brick, NJ 08724-1734

Mailing address

5 Anna Rose CT
Bordentown, NJ 08505-2270
Phone (201) 683-1133

Other practice location 1

2050 State Route 27
Suite 101
North Brunswick, NJ 08902-1380
Phone (732) 821-2400

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
I20140602000382 NJ Practitioner - Podiatry 3476776907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ea Health - New Jersey LLCGroup PAC ID 6103222039, 37 clinicians

Practice addresses (Care Compare)

292 Herbertsville Rd
Brick, NJ 08724-1734
Phone (732) 840-8989

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions16
Removal of nail tissue782
Removal or shaving of skin growth456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006735NYMDOptometrist
25MD00320900NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brick Foot & Ankle Center, PC Single Specialty CurrentSince Jan 27, 2019 Accepting new patients
Ea Health - New Jersey LLC Single Specialty CurrentSince Nov 16, 2024 Accepting new patients
Bassem M.Demian,DPM Single Specialty PastSince Jan 1, 2019 Accepting new patients

Locations

292 Herbertsville Rd
Brick, NJ 08724
Phone (732) 840-8989

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • Direct secure messaging: john.mostafa.1@19322.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19322/brand/1/csg/1/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 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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1598058554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ANNA ROSE CT",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052270",
            "telephone_number": "201-683-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 HERBERTSVILLE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241734",
            "telephone_number": "732-840-8989",
            "fax_number": "732-840-9135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 State Route 27",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089021380",
            "country_code": "US",
            "telephone_number": "732-821-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSTAFA",
        "first_name": "JOHN",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006735",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00320900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.