Individual provider Active NPI

Brian K Gotchel, DPM

  • Foot Surgery Podiatrist
  • Woodbury, NJ
National Provider Identifier
1700988284
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
MD02066 Issued in NJ
Practice address
636 Kings Hwy Ste a
Woodbury, NJ 08096-3145
Phone
(856) 848-0500
NPI assigned
Sep 4, 2006
Last updated
Sep 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X MD02066 NJ Primary

Addresses

Primary practice location

636 Kings Hwy Ste a
Woodbury, NJ 08096-3145

Mailing address

1318 Vallee Dr
Woodbury, NJ 08096-3139
Phone (856) 853-1471

Other identifiers 1

IdentifierTypeStateIssuer
5084105MedicaidNJ

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
I20040210000708 NJ Practitioner - Podiatry 7012801194 Practice locations: Woodury, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

636 Kings Hwy
Suite a
Woodbury, NJ 08096

636 Kings Hwy
Suite a
West Deptford, NJ 08096-3164
Phone (856) 848-0500

636 Kings Hwy a
West Deptford, NJ 08096

Merit-based Incentive Payment System (MIPS)

Final score
37.26 of 100Reported as individual
Quality
60
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue24
Removal of skin lesions23
Removal of nail tissue3957
Removal or shaving of skin growth595
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD02066NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian K Gotchel DPM Foot Surgery CurrentSince Sep 1, 1991 Accepting new patients

Locations

636 Kings Hwy
Ste A
West Deptford, NJ 08096
Phone (609) 848-0500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1700988284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 VALLEE DR",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963139",
            "telephone_number": "856-853-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 KINGS HWY STE A",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963145",
            "telephone_number": "856-848-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTCHEL",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD02066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5084105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.