Individual provider Active NPI

Joseph Patrick Haley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Williamstown, NJ
National Provider Identifier
1720025059
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00241700 Issued in NJ
Practice address
1035 North Black Horse Pike
Unit 1
Williamstown, NJ 08094-1043
Phone
(856) 629-7518
Fax
(856) 629-1838
NPI assigned
Jun 2, 2006
Last updated
Jan 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00241700 NJ Primary

Addresses

Primary practice location

1035 North Black Horse Pike
Unit 1
Williamstown, NJ 08094-1043

Mailing address

1035 North Black Horse Pike
Unit 1
Williamstown, NJ 08094-1043
Phone (856) 629-7518

Other identifiers 1

IdentifierTypeStateIssuer
8407606MedicaidNJ

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
I20080314000054 NJ Practitioner - Podiatry 6103901129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1035 N Black Horse Pike
Suite 1
Williamstown, NJ 08094-2840
Phone (856) 629-7518

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue125
Removal of skin lesions1-10
Removal of nail tissue1622
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Jun 28, 2000 Accepting new patients
Advanced Foot & Ankle Center of Williamstown, Inc Foot & Ankle Surgery CurrentSince Feb 10, 2000 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Jun 28, 2000 Accepting new patients
Affiliated Podiatrists of South Jersey LTD Foot & Ankle Surgery PastSince Oct 19, 2010 Accepting new patients
Don S. Cooper DC PC Past Accepting new patients

Locations

301 Spring Garden Rd
Hammonton, NJ 08037
Phone (609) 561-1700

1035 N Black Horse Pike
Ste 1
Williamstown, NJ 08094
Phone (856) 629-7518

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7753d029-0f68-4c26-8081-55eb23bb5866/

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1720025059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 NORTH BLACK HORSE PIKE",
            "address_2": "UNIT 1",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941043",
            "telephone_number": "856-629-7518",
            "fax_number": "856-629-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 NORTH BLACK HORSE PIKE",
            "address_2": "UNIT 1",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941043",
            "telephone_number": "856-629-7518",
            "fax_number": "856-629-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00241700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8407606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

Verify at the official NPI Registry.