Individual provider Active NPI

John Joseph McEvoy Jr., DPM

  • Podiatrist
  • Clifton, NJ
National Provider Identifier
1619907524
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD02487 Issued in NJ
Practice address
152 Lakeview Ave
Clifton, NJ 07011
Phone
(973) 340-8970
Fax
(973) 340-8632
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD02487 NJ Primary

Addresses

Primary practice location

152 Lakeview Ave
Clifton, NJ 07011

Mailing address

24 Walt Whitman TRL
Morristown, NJ 07960-2729
Phone (973) 971-0197

Other identifiers 1

IdentifierTypeStateIssuer
7793308MedicaidNJ

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
I20060911000346 NJ Practitioner - Podiatry 9133123029 Reassigns benefits to 3 organizations
Practice locations: Ramsey, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians
Madison Medical and Sports Rehabilitation L.L.CGroup PAC ID 2769381243, 11 clinicians

Practice addresses (Care Compare)

152 Lakeview Ave
Clifton, NJ 07011-4021
Phone (973) 956-8600

345 Main St
Madison, NJ 07940-2383
Phone (973) 377-6700

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue302
Removal of nail tissue19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD02487NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Foot and Ankle CurrentSince Sep 1, 2021 Accepting new patients
Madison Medical and Sports Rehabilitation L.L.C CurrentSince Jan 1, 2015 Accepting new patients
Ankle & Foot Associates of North Jersey Podiatrist CurrentSince Sep 1, 2006 Accepting new patients
Curalta Medical LLC Podiatrist CurrentSince Dec 1, 2021 Accepting new patients
Curalta Medical LLC Podiatrist CurrentSince Dec 1, 2021 Accepting new patients
Proactive Foot and Ankle CurrentSince Sep 1, 2021 Accepting new patients
Madison Medical and Sports Rehabilitation L.L.C Past Accepting new patients

Locations

1187 Main Ave
Clifton, NJ 07011
Phone (973) 340-8970

152 Lakeview Ave
Clifton, NJ 07011
Phone (973) 340-8970

1187 Main Ave
Ste 2D
Clifton, NJ 07011

345 Main St
Madison, NJ 07940
Phone (973) 377-6700

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

Interoperability endpoints

  • Direct secure messaging: john.mcevoy@pfaa-nj.direct.office.nextgen.com

Organizations & group practices 7

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1619907524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WALT WHITMAN TRL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602729",
            "telephone_number": "973-971-0197",
            "fax_number": "973-340-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-340-8970",
            "fax_number": "973-340-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD02487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7793308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.