Individual provider Active NPI

Ronald J Lancz, DPM

  • Podiatrist
  • Lakewood, NJ
National Provider Identifier
1619954302
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD002201 Issued in NJ
Practice address
105 River Avenue
Building B Suite #303
Lakewood, NJ 08701
Phone
(732) 364-4300
Fax
(732) 886-7363
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD002201 NJ Primary

Addresses

Primary practice location

105 River Avenue
Building B Suite #303
Lakewood, NJ 08701

Mailing address

105 River Ave
Building B Suite #303
Lakewood, NJ 08701-4267
Phone (732) 364-4300

Other identifiers 3

IdentifierTypeStateIssuer
1K5078OtherPHS GUARDIAN
5535204MedicaidNJ
P2098264OtherOXFORD

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
I20110111000183 NJ Practitioner - Podiatry 3375595887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 River Ave
Suite 303
Lakewood, NJ 08701-4267
Phone (732) 364-4300

Hospital & facility affiliations

  • Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084

Merit-based Incentive Payment System (MIPS)

Final score
75.56 of 100Reported as individual
Quality
51.11
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue70
Removal of skin lesions1-10
Removal of nail tissue475
Removal or shaving of skin growth308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD002201NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald J. Lancz,DPM P.a. Podiatrist CurrentSince Sep 1, 1993 Accepting new patients

Locations

721 W Kennedy Blvd
Lakewood, NJ 08701
Phone (732) 905-0053

105 River Ave
Ste 303
Lakewood, NJ 08701
Phone (718) 258-9572

721 W Kennedy Blvd
Ste B5
Lakewood, NJ 08701
Phone (732) 364-4300

721 W Kennedy Blvd
Ste B1
Lakewood, NJ 08701
Phone (732) 364-4300

Interoperability endpoints

  • Direct secure messaging: ronald.lancz.1@21931.direct.athenahealth.com
  • Direct secure messaging: ronald.lancz.2@21931.direct.athenahealth.com

Organizations & group practices 1

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 2

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1619954302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RIVER AVE",
            "address_2": "BUILDING B SUITE #303",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014267",
            "telephone_number": "732-364-4300",
            "fax_number": "732-886-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RIVER AVENUE",
            "address_2": "BUILDING B SUITE #303",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-364-4300",
            "fax_number": "732-886-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCZ",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS GUARDIAN",
            "identifier": "1K5078",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5535204",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2098264",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.