Individual provider Active NPI

Matthew J Waxman, DPM

  • Podiatrist
  • Middletown, DE
National Provider Identifier
1699203323
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1-0000253 Issued in DE
Practice address
118 Sandhill Dr Ste 204
Middletown, DE 19709
Phone
(302) 378-1022
NPI assigned
May 25, 2017
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1-0000253 DE Primary

Addresses

Primary practice location

118 Sandhill Dr Ste 204
Middletown, DE 19709

Mailing address

1010 N Bancroft Pkwy Ste 12
Wilmington, DE 19805-2668
Phone (302) 658-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 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
I20180910001420 DE Practitioner - Podiatry 5890045074 Reassigns benefits to 2 organizations
I20180917001711 MD Practitioner - Podiatry 5890045074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Cedar Corner Rd
Suite a
Perryville, MD 21903-2306
Phone (410) 618-2045

106 Bow St
Elkton, MD 21921-5544
Phone (410) 618-2045

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue37
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06148MDMDClinical Psychologist
E1-0000253DEMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Feb 1, 2023 Accepting new patients
Union Hospital of Cecil County CurrentSince Feb 1, 2023 Accepting new patients
Waximus Podiatry PLLC Podiatrist CurrentSince Oct 1, 2022 Accepting new patients
Christiana Care Health Services Inc Podiatrist CurrentSince Mar 31, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 31, 2024 Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

207 North St
Ste A
Elkton, MD 21921

1001 Cedar Corner Rd
Ste A
Perryville, MD 21903
Phone (410) 618-2045

Organizations & group practices 6

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.

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1699203323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY STE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052668",
            "telephone_number": "302-658-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SANDHILL DR STE 204",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "19709",
            "telephone_number": "302-378-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0000253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.