Individual provider Active NPI

Alicia Marie Attanasio-Shnitser, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brick, NJ
National Provider Identifier
1629415492
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00332000 Issued in NJ
Practice address
186 Jack Martin Blvd # B-1
Brick, NJ 08724-7728
Phone
(732) 835-8524
Fax
(855) 858-5258
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00332000 NJ Primary

Addresses

Primary practice location

186 Jack Martin Blvd # B-1
Brick, NJ 08724-7728

Mailing address

186 Jack Martin Blvd # B-1
Brick, NJ 08724-7728
Phone (732) 835-8524

Other practice location 1

62 Glenmary Ave
Red Bank, NJ 07701-6259
Phone (732) 939-1057

Other practice location 2

144 E 44th St Fl 3
New York, NY 10017-4096
Phone (212) 557-4070

Other practice location 3

62 Glenmary Ave
Red Bank, NJ 07701-6259
Phone (732) 939-1057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20170619000565 NJ Practitioner - Podiatry 2567760747 Reassigns benefits to 2 organizations
I20181129003180 NY Practitioner - Podiatry 2567760747 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1405 Route 18
Suite 105
Old Bridge, NJ 08857-3744
Phone (732) 679-8700

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions17
Removal of nail tissue697
Removal or shaving of skin growth623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Toms River Podiatrist Foot & Ankle Surgery CurrentSince Oct 24, 2021 Accepting new patients
Kenneth Donovan DPM LLC Foot & Ankle Surgery CurrentSince Apr 17, 2017 Accepting new patients
Elite Tri-State Foot Care, PC Foot & Ankle Surgery CurrentSince Sep 9, 2019 Accepting new patients
East Brunswick Foot Care, LLC Foot & Ankle Surgery CurrentSince Oct 1, 2012 Accepting new patients

Locations

186 Jack Martin Blvd
Ste B1
Brick, NJ 08724
Phone (732) 785-1600

1405 State Route 18
Ste 105
Old Bridge, NJ 08857
Phone (732) 257-8700

104 Commons Way
Bldg A
Toms River, NJ 08755
Phone (732) 349-1123

144 E 44th St
Fl 3
New York, NY 10017
Phone (212) 490-3800

Interoperability endpoints

  • Direct secure messaging: aattanasio1140662@nychhc.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1629415492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 JACK MARTIN BLVD # B-1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247728",
            "telephone_number": "732-835-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 JACK MARTIN BLVD # B-1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247728",
            "telephone_number": "732-835-8524",
            "fax_number": "855-858-5258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Glenmary Ave",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077016259",
            "country_code": "US",
            "telephone_number": "732-939-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 E 44th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100174096",
            "country_code": "US",
            "telephone_number": "212-557-4070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Glenmary Ave",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077016259",
            "country_code": "US",
            "telephone_number": "732-939-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATTANASIO-SHNITSER",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2022-03-04",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00332000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.