Individual provider Active NPI

Nicholas Szwaba, D.P.M

  • Primary Podiatric Medicine Podiatrist
  • Wayne, NJ
National Provider Identifier
1619322955
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
25MD00352300 Issued in NJ
Practice address
2020 NJ-23
Wayne, NJ 07470-1901
Phone
(917) 903-1532
NPI assigned
Apr 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006885 NY
Podiatrist 213E00000X 25MD00352300 NJ
Public Medicine Podiatrist 213EP0504X 25MD00352300 NJ
Public Medicine Podiatrist 213EP0504X 006885 NY
Primary Podiatric Medicine Podiatrist 213EP1101X 006885 NY
Radiology Podiatrist 213ER0200X 25MD00352300 NJ
Radiology Podiatrist 213ER0200X 006885 NY
Sports Medicine Podiatrist 213ES0000X 25MD00352300 NJ
Sports Medicine Podiatrist 213ES0000X 006885 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00352300 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 006885 NY
Foot Surgery Podiatrist 213ES0131X 25MD00352300 NJ
Foot Surgery Podiatrist 213ES0131X 006885 NY
Student in an Organized Health Care Education/Training Program 390200000X
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00352300 NJ Primary

Addresses

Primary practice location

2020 NJ-23
Wayne, NJ 07470-1901

Mailing address

4243 Richmond Ave
Staten Island, NY 10312-6221
Phone (718) 554-4098

Other practice location 1

4243 Richmond Ave
Staten Island, NY 10312-6221
Phone (718) 554-4098

Other practice location 2

65 Weaver St
Staten Island, NY 10312-5405
Phone (917) 903-1532

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL nszwaba@gmail.com Direct
SOAP URL direct Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201020002622 NY Practitioner - Podiatry 0547506297 Reassigns benefits to 4 organizations
I20201216002934 NJ Practitioner - Podiatry 0547506297 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tekchand Thakurdial DPM PCGroup PAC ID 1153644935, 2 clinicians
Podiatry Company LLCGroup PAC ID 5890103097, 20 clinicians

Practice addresses (Care Compare)

2020
Suite 23
Wayne, NJ 07470
Phone (917) 903-1532

4243 Richmond Ave
Apt 1
Staten Island, NY 10312-6236
Phone (718) 554-4098

43 N White Horse Pike
Hammonton, NJ 08037-1875
Phone (516) 792-0070

65 Weaver St
Staten Island, NY 10312-5405
Phone (917) 903-1532

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue336
Removal of skin lesions335
Removal of nail tissue3352
Removal or shaving of skin growth2649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006885NYMDPrimary Podiatric Medicine Podiatrist
25MD00352300NJMDRadiology Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Company LLC Podiatrist CurrentSince Nov 1, 2024 Accepting new patients
Medical Director Services PC CurrentSince Oct 5, 2024 Accepting new patients
Tekchand Thakurdial, DPM, P.C. Foot & Ankle Surgery CurrentSince Jan 1, 2021 Accepting new patients
Si Ny Podiatry, PC Foot & Ankle Surgery CurrentSince Jan 1, 2020 Accepting new patients
Personalized Footcare PC Foot & Ankle Surgery CurrentSince Mar 3, 2022 Accepting new patients
Paul Eric Eckstein, D.P.M., P.C. Foot Surgery CurrentSince Mar 1, 2021 Accepting new patients

Locations

43 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-3100

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

301 Mill Rd
Ste U7
Hewlett, NY 11557

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

970 N Broadway
Ste 308B
Yonkers, NY 10701
Phone (914) 423-8000

Interoperability endpoints

  • Direct secure messaging: nszwaba218650@northwell.direct-ci.com

Organizations & group practices 8

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 1

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": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1619322955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126221",
            "telephone_number": "718-554-4098",
            "fax_number": "718-554-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NJ-23",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074701901",
            "telephone_number": "917-903-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4243 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103126221",
            "country_code": "US",
            "telephone_number": "718-554-4098",
            "fax_number": "718-554-4594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Weaver St",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103125405",
            "country_code": "US",
            "telephone_number": "917-903-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZWABA",
        "first_name": "NICHOLAS",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-24",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006885",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00352300",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "NJ",
            "license": "25MD00352300",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "NY",
            "license": "006885",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "006885",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NJ",
            "license": "25MD00352300",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NY",
            "license": "006885",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NJ",
            "license": "25MD00352300",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "006885",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00352300",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006885",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00352300",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006885",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00352300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "nszwaba@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Nicholas Szwaba",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "7185544098",
            "address_1": "4243 Richmond Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103126221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "direct",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "65 Weaver St",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103125405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.