Active NPI
Meagan R Coleman, DPM
- Foot & Ankle Surgery Podiatrist
- Freehold, NJ
National Provider Identifier
1710331798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00349900
- Practice address
- 1043 W Main St
Freehold, NJ 07728-2538 - Phone
- (732) 800-9000
- Fax
- (732) 840-2088
- NPI assigned
- Apr 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00349900 | NJ | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00349900 | NJ | Primary |
Addresses
Primary practice location
1043 W Main St
Freehold, NJ 07728-2538
Mailing address
1043 W Main St
Freehold, NJ 07728-2538
Phone (732) 800-9000
Other practice location 1
400 Rte 17
Ridgewood, NJ 07450-2010
Phone (201) 445-2288
Other practice location 2
3499 Route 9 N
Freehold, NJ 07728-3258
Phone (732) 863-4790
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcoleman@oiortho.com | ||
| Direct Messaging Address | mlicenziato@verizon.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2035 Lincoln Hwy
Edison, NJ 08817-3351
Phone (732) 974-0404
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00349900 | NJ | MD | Podiatrist |
Interoperability endpoints
- mrivera331720@direct.hfhs.org
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Somerset, NJ
- NPI 1720557432
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1710331798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282538",
"telephone_number": "732-800-9000",
"fax_number": "732-840-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282538",
"telephone_number": "732-800-9000",
"fax_number": "732-840-2088"
}
],
"practiceLocations": [
{
"address_1": "400 Rte 17",
"address_purpose": "LOCATION",
"city": "Ridgewood",
"state": "NJ",
"postal_code": "074502010",
"country_code": "US",
"telephone_number": "201-445-2288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3499 Route 9 N",
"address_purpose": "LOCATION",
"city": "Freehold",
"state": "NJ",
"postal_code": "077283258",
"country_code": "US",
"telephone_number": "732-863-4790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "MEAGAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00349900",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00349900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcoleman@oiortho.com",
"affiliation": "N",
"address_1": "2315 Route 34",
"city": "Manasquan",
"state": "NJ",
"country_code": "US",
"postal_code": "087361444",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlicenziato@verizon.net",
"affiliation": "N",
"address_1": "400 Rte 17",
"city": "Ridgewood",
"state": "NJ",
"country_code": "US",
"postal_code": "074502010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.