Javier Ricardo Ponce, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00246800 Issued in NJ

Practice address

654 Mount Prospect Ave Ste 301
Newark, NJ 07104-3110

Phone

(973) 482-7007

Fax

(973) 482-9333

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16835/brand/1/csg/1/fhir/r4

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.

• North Plainfield Podiatry

  • Non-Pharmacy Dispensing Site
  • Newark, NJ
  • NPI 1619498300
  NPD Authorized official
• North Plainfield Podiatry

  • Primary Podiatric Medicine Podiatrist
  • Newark, NJ
  • NPI 1720517360
  NPD Authorized official
• Center for Adult Medicine and Preventive Care, PC

  • Clinic/Center
  • Passaic, NJ
  • NPI 1073779658
  NPD (past)
• Shah Anuj MD PC

  dba Apex Heart and Vascular Care

  • Interventional Cardiology Physician
  • Passaic, NJ
  • NPI 1215445127
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1679689764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 MOUNT PROSPECT AVE STE 301",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110",
            "telephone_number": "973-482-7007",
            "fax_number": "973-482-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 MOUNT PROSPECT AVE STE 301",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110",
            "telephone_number": "973-482-7007",
            "fax_number": "973-482-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "JAVIER",
        "middle_name": "RICARDO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00246800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF NJ",
            "identifier": "01000308101",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF NJ",
            "identifier": "01000308103",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF NJ",
            "identifier": "01000308102",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1135990",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2174641",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "480030704",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7857004",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF NJ",
            "identifier": "01000308100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1850705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Danielle Polo
• Gail Elizabeth Poltawec, RN
• Joseph C Pompa, DO
• Lisa Pompeo
• Amrita Pompy
• Andy Ponici
• Julie Ponn
• Madhuri Ponnaluri
• Rex N. Ponnudurai, M.D.
• Julia F Pons, MD

• Podiatrist in Newark, NJ
• Providers in Newark, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.