Individual provider Active NPI

Josh Barry Ottenheimer, D.P.M.

  • Podiatrist
  • West Windsor, NJ
National Provider Identifier
1609863414
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD0027960 Issued in NJ
Practice address
263 Princeton Hightstown Rd
West Windsor, NJ 08550-3127
Phone
(609) 799-0043
Fax
(609) 799-0047
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD0027960 NJ Primary

Addresses

Primary practice location

263 Princeton Hightstown Rd
West Windsor, NJ 08550-3127

Mailing address

206 Barclay Blvd
Princeton, NJ 08540-5875
Phone (609) 240-2973

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
I20040927000519 NJ Practitioner - Podiatry 4981673027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Foot and Ankle AssociatesGroup PAC ID 5597755975, 4 clinicians

Practice addresses (Care Compare)

11 N Harrison St
Princeton, NJ 08540-3502
Phone (609) 924-1922

Merit-based Incentive Payment System (MIPS)

Final score
77.86 of 100Reported as individual
Quality
59.74
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions1-10
Removal of nail tissue1274
Removal or shaving of skin growth430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD0027960NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Foot and Ankle Associates Podiatrist CurrentSince Jul 1, 2004 Accepting new patients
Princeton Foot and Ankle Associates Podiatrist PastSince Jul 1, 2004 Accepting new patients

Locations

11 N Harrison St
Princeton, NJ 08540
Phone (609) 924-1689

263 Princeton Hightstown Rd
#R
West Windsor, NJ 08550
Phone (609) 799-0043

263 Princeton Hightstown Rd
West Windsor, NJ 08550
Phone (609) 799-0043

Interoperability endpoints

  • Direct secure messaging: josh.ottenheimer.1@17315.direct.athenahealth.com
  • Direct secure messaging: jottenheimer@princetonfoot.mdlogic.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/17315/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1609863414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BARCLAY BLVD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405875",
            "telephone_number": "609-240-2973",
            "fax_number": "609-799-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 PRINCETON HIGHTSTOWN RD",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503127",
            "telephone_number": "609-799-0043",
            "fax_number": "609-799-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENHEIMER",
        "first_name": "JOSH",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD0027960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Windsor, NJ

Sources for this page

Verify at the official NPI Registry.