Individual provider Active NPI

Anissa Hashemi-Awwal, DPM

  • Foot & Ankle Surgery Podiatrist
  • Montclair, NJ
National Provider Identifier
1700294303
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00340700 Issued in NJ
Practice address
546 Valley Rd Ste 101
Montclair, NJ 07043-1871
Phone
(973) 265-0888
NPI assigned
Jul 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 25MD00340700 NJ Primary

Addresses

Primary practice location

546 Valley Rd Ste 101
Montclair, NJ 07043-1871

Mailing address

546 Valley Rd Ste 101
Montclair, NJ 07043-1871
Phone (973) 265-0888

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
I20250515003017 NJ Practitioner - Podiatry 2365853058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

546 Valley Rd
Suite 101
Montclair, NJ 07043-1871
Phone (973) 265-0888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Montclair Foot and Ankle Foot & Ankle Surgery CurrentSince Dec 1, 2024 Accepting new patients

Locations

546 Valley Rd
Ste 101
Montclair, NJ 07043
Phone (973) 265-0888

115 Route 46 W
Mountain Lakes, NJ 07046
Phone (973) 539-7476

115 US Highway 46
Ste B12
Mountain Lakes, NJ 07046
Phone (973) 809-7706

Interoperability endpoints

  • Direct secure messaging: anissa.hashemiawwal@direct.hobokenumc.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1406419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1700294303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 VALLEY RD STE 101",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431871",
            "telephone_number": "973-265-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 VALLEY RD STE 101",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431871",
            "telephone_number": "973-265-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHEMI-AWWAL",
        "first_name": "ANISSA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-27",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00340700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.