Individual provider Active NPI

David Roble, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bridgewater, NJ
National Provider Identifier
1639675218
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00363800 Issued in NJ
Practice address
720 Rte 202/206
Bridgewater, NJ 08807-1746
Phone
(908) 704-8778
Fax
(908) 704-8172
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00363800 NJ Primary
Foot Surgery Podiatrist 213ES0131X 25MD00363800 NJ

Addresses

Primary practice location

720 Rte 202/206
Bridgewater, NJ 08807-1746

Mailing address

720 Rte 202/206
Bridgewater, NJ 08807-1746
Phone (908) 704-8778

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
I20220318000920 NJ Practitioner - Podiatry 3476897075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skybridge Healthcare Limited Liability CompanyGroup PAC ID 6901117084, 8 clinicians

Practice addresses (Care Compare)

720 RT
Bridgewater, NJ 08807-1746
Phone (908) 704-8778

Hospital & facility affiliations

  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue67
Removal of skin lesions769
Removal of nail tissue784
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skybridge Healthcare Limited Liability Company CurrentSince Mar 7, 2024 Accepting new patients
Foot and Ankle Center of New Jersey LLC Foot & Ankle Surgery PastSince Jan 7, 2014 Accepting new patients

Locations

720 US Highway 202/206
Bridgewater, NJ 08807
Phone (908) 704-8778

16 Pocono Rd
Ste 207
Denville, NJ 07834
Phone (973) 586-9323

491 Amwell Rd
Ste 101
Hillsborough, NJ 08844
Phone (908) 359-0137

5 State Rt 94
Ste 3B
Vernon, NJ 07462
Phone (973) 300-2450

Organizations & group practices 2

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1639675218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 RTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071746",
            "telephone_number": "908-704-8778",
            "fax_number": "908-704-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 RTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071746",
            "telephone_number": "908-704-8778",
            "fax_number": "908-704-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLE",
        "first_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00363800",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00363800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.