Individual provider Active NPI

Rico Miguel Almazan Visperas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Little Falls, NJ
National Provider Identifier
1710378245
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00323600 Issued in NJ
Practice address
50 Lincoln Ave
Little Falls, NJ 07424-1535
Phone
(862) 520-8895
NPI assigned
Feb 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00323600 NJ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X N006652-1 NY

Addresses

Primary practice location

50 Lincoln Ave
Little Falls, NJ 07424-1535

Mailing address

50 Lincoln Ave
Little Falls, NJ 07424-1535
Phone (862) 520-8895

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
I20150709000456 NJ Practitioner - Podiatry 3971815648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1030 McBride Ave
Suite 103
Woodland Park, NJ 07424-2535
Phone (973) 638-1555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue722
Removal or shaving of skin growth465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00323600NJMDFoot & Ankle Surgery Podiatrist
N006652-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Foot and Ankle, LLC Foot & Ankle Surgery CurrentSince Oct 31, 2018 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1710378245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LINCOLN AVE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241535",
            "telephone_number": "862-520-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LINCOLN AVE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241535",
            "telephone_number": "862-520-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISPERAS",
        "first_name": "RICO MIGUEL",
        "middle_name": "ALMAZAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00323600",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006652-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

Verify at the official NPI Registry.