Individual provider Active NPI

Jodene Shwer, DPM

  • Podiatrist
  • New York, NY
National Provider Identifier
1619330941
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00347300 Issued in NJ
Practice address
44 E 12TH St Apt MD4
New York, NY 10003-4667
Phone
(212) 366-1718
Fax
(201) 816-9009
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006993 NY
Podiatrist 213E00000X 25MD00347300 NJ Primary

Addresses

Primary practice location

44 E 12TH St Apt MD4
New York, NY 10003-4667

Mailing address

44 E 12TH St Apt MD4
New York, NY 10003-4667
Phone (888) 265-0610

Other practice location 1

506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-5012

Other practice location 2

95 Main St
West Orange, NJ 07052-5403
Phone (973) 395-1550

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
I20190612002253 NY Practitioner - Podiatry 6103159819 Reassigns benefits to 1 organization
I20211019001131 NJ Practitioner - Podiatry 6103159819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1150 Springfield Ave
Irvington, NJ 07111-2441
Phone (973) 399-6292

741 Broadway
Newark, NJ 07104-4309
Phone (973) 483-1300

751 Broadway
Newark, NJ 07104-4309
Phone (973) 483-1300

92 -96 Ferry St
Newark, NJ 07104-4309
Phone (973) 803-4510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006993NYMDClinical Psychologist
N006993NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Footdrx, LLP Podiatrist CurrentSince Jul 1, 2019 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

370 Grand Ave
Ste 101
Englewood, NJ 07631
Phone (201) 816-8778

44 E 12th St
Apt MD4
New York, NY 10003
Phone (212) 226-6264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13083/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jodene.shwer.1@13083.direct.athenahealth.com

Organizations & group practices 4

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1619330941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E 12TH ST APT MD4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034667",
            "telephone_number": "888-265-0610",
            "fax_number": "212-366-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E 12TH ST APT MD4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034667",
            "telephone_number": "212-366-1718",
            "fax_number": "201-816-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153609",
            "country_code": "US",
            "telephone_number": "718-780-5012",
            "fax_number": "201-816-9009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Main St",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070525403",
            "country_code": "US",
            "telephone_number": "973-395-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHWER",
        "first_name": "JODENE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006993",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00347300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.