Active NPI
John Mostafa, D.P.M
- Foot & Ankle Surgery Podiatrist
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00320900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 45 |
| Removal of skin lesions | 16 |
| Removal of nail tissue | 782 |
| Removal or shaving of skin growth | 456 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006735 | NY | MD | Optometrist |
| 25MD00320900 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brick Foot & Ankle Center, PC | Single Specialty | Current | Accepting new patients |
| Ea Health - New Jersey LLC | Single Specialty | Current | Accepting new patients |
| Bassem M.Demian,DPM | Single Specialty | Past | 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
- john.mostafa.1@19322.direct.athenahealth.com
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Brick, NJ
- NPI 1316475973
Single Specialty
-
- Emergency Medicine Physician
- Red Bank, NJ
- NPI 1063186641
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.