Active NPI
Josephine T Depalma, DPM
- Foot Surgery Podiatrist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC002712L
- 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, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC002712L | Other | PA | STATE LICENSE |
| 0010107900006 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 25 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 180 |
| Removal or shaving of skin growth | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002712-L | PA | MD | Radiology Podiatrist |
| SC002712L | PA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Josephine Depalma | Podiatrist | Current | Accepting new patients |
| Josephine Depalma DPM | Foot & Ankle Surgery | Current | 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.
-
- Foot Surgery Podiatrist
- Philadelphia, PA
- NPI 1013191824
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1740462985
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roxborough Memorial Hospital
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1083986129
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
- Jaskiran Deol
- Aubrey Grant Deon, DMD
- Christine Deoud, COTA
- Catherine Grace Depalma
- Jessica Depalma, DO
- Michael Joseph Depalma, MD
- Natalie R Depalma
- Richard Salvatore Depalma, D.O.
- John Depaolo, MD, PHD
- Department of Military Affairs Commonwealth of Pennsylvania (Delaware Valley Veterns Home Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.