Individual provider Active NPI

Josephine T Depalma, DPM

  • Foot Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1710988258
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC002712L Issued in PA
Practice address
5735 Ridge Ave
Ste 210
Philadelphia, PA 19128-1745
Phone
(215) 483-9610
Fax
(215) 483-9679
NPI assigned
Aug 9, 2005
Last updated
Aug 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002712-L PA
Public Medicine Podiatrist 213EP0504X SC002712-L PA
Radiology Podiatrist 213ER0200X SC002712-L PA
Sports Medicine Podiatrist 213ES0000X SC002712-L PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC002712-L PA
Foot Surgery Podiatrist 213ES0131X SC002712L PA Primary

Addresses

Primary practice location

5735 Ridge Ave
Ste 210
Philadelphia, PA 19128-1745

Mailing address

226 W Rittenhouse SQ
Apt 2408
Philadelphia, PA 19103-5768
Phone (267) 583-0700

Other identifiers 2

IdentifierTypeStateIssuer
SC002712LOtherPASTATE LICENSE
0010107900006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101129000307 PA Practitioner - Podiatry 2769695931 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2706 N 5TH St
Philadelphia, PA 19133-2701
Phone (215) 425-5060

5735 Ridge Ave
Suite 210
Philadelphia, PA 19128-1747
Phone (215) 483-9610

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions1-10
Removal of nail tissue180
Removal or shaving of skin growth42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002712-LPAMDRadiology Podiatrist
SC002712LPAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Josephine Depalma Podiatrist Current Accepting new patients
Josephine Depalma DPM Foot & Ankle Surgery CurrentSince Jun 18, 1997 Accepting new patients

Locations

2706 N 5th St
Philadelphia, PA 19133
Phone (215) 425-5060

5735 Ridge Ave
Ste 210
Philadelphia, PA 19128
Phone (215) 483-2300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1710988258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W RITTENHOUSE SQ",
            "address_2": "APT 2408",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035768",
            "telephone_number": "267-583-0700",
            "fax_number": "215-483-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 RIDGE AVE",
            "address_2": "STE 210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281745",
            "telephone_number": "215-483-9610",
            "fax_number": "215-483-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALMA",
        "first_name": "JOSEPHINE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002712-L",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "PA",
            "license": "SC002712-L",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "PA",
            "license": "SC002712-L",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "PA",
            "license": "SC002712-L",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002712-L",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC002712L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SC002712L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010107900006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.