Individual provider Active NPI

Ashley Theresa Bittar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Little Ferry, NJ
National Provider Identifier
1700239506
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00348100 Issued in NJ
Practice address
274 Main St
Little Ferry, NJ 07643-1346
Phone
(201) 440-9444
NPI assigned
Jul 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00348100 NJ Primary

Addresses

Primary practice location

274 Main St
Little Ferry, NJ 07643-1346

Mailing address

274 Main St
Little Ferry, NJ 07643-1346
Phone (201) 440-9444

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
I20190628002274 NJ Practitioner - Podiatry 4284968942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Foot and Ankle PAGroup PAC ID 7315950268, 7 clinicians

Practice addresses (Care Compare)

528 Boulevard
Keilworth, NJ 07033-1657
Phone (908) 276-6624

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue42
Removal of skin lesions19
Removal of nail tissue1228
Removal or shaving of skin growth910
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00348100NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Foot and Ankle, P.a. Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Innovative Foot and Ankle, P.a. Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Innovative Foot and Ankle, P.a. Single Specialty Past Accepting new patients

Locations

528 Boulevard
Kenilworth, NJ 07033
Phone (908) 276-6624

274 Main St
Little Ferry, NJ 07643
Phone (201) 440-9444

119 Grove St
Montclair, NJ 07042
Phone (973) 744-3561

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1700239506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 MAIN ST",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431346",
            "telephone_number": "201-440-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MAIN ST",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431346",
            "telephone_number": "201-440-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTAR",
        "first_name": "ASHLEY",
        "middle_name": "THERESA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00348100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Ferry, NJ

Sources for this page

Verify at the official NPI Registry.