Individual provider Active NPI

John J Beronio, DPM

  • Podiatrist
  • Waldwick, NJ
National Provider Identifier
1710934278
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD2304 Issued in NJ
Practice address
171 North Franklin Tpke
Waldwick, NJ 07463
Phone
(201) 447-8190
Fax
(201) 447-4298
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD2304 NJ Primary

Addresses

Primary practice location

171 North Franklin Tpke
Waldwick, NJ 07463

Mailing address

171 North Franklin Tpke
Waldwick, NJ 07463
Phone (201) 447-8190

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
I20100903000380 NJ Practitioner - Podiatry 0345364956 Reassigns benefits to 1 organization
Practice locations: Waldwick, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

1 Valley Health PLZ
Suite 1
Paramus, NJ 07652-3628
Phone (201) 634-5300

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000

400 Market St
Montvale, NJ 07645-1903
Phone (201) 447-8200

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue40
Removal of skin lesions197
Removal of nail tissue423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD2304NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Mar 27, 2017 Accepting new patients
Angelo del Priore DPM Past Accepting new patients

Locations

400 Market St
Ste 310
Montvale, NJ 07645

80 E Route 4
Ste 490
Paramus, NJ 07652
Phone (201) 251-3480

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

171 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 447-8990

1578 Route 23
Ste 100
Wayne, NJ 07470

Interoperability endpoints

  • Direct secure messaging: john.beronio.1@5622.direct.athenahealth.com

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.

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1710934278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 NORTH FRANKLIN TPKE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "07463",
            "telephone_number": "201-447-8190",
            "fax_number": "201-447-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 NORTH FRANKLIN TPKE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "07463",
            "telephone_number": "201-447-8190",
            "fax_number": "201-447-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERONIO",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

Verify at the official NPI Registry.