Brandon A Macy, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

25MD00126200 Issued in NJ

Practice address

1114 Raritan Rd
Clark, NJ 07066-1330

Phone

(732) 382-3470

Fax

(732) 301-8262

NPI assigned

Jun 17, 2005

Last updated

Sep 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Podiatric Physicians and Surgeons Group, LLCGroup PAC ID 4385870153, 37 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brandonm@cpc-nj.direct.office.nextgen.com

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.

• New Jersey Podiatric Physicians & Surgeons Group, LLC

  • Podiatrist
  • Howell, NJ
  • NPI 1518230663
  Medicare reassignment Care Compare group
• Brandon Macy

  • Durable Medical Equipment & Medical Supplies
  • Clark, NJ
  • NPI 1225214034
  Authorized official Same address or phone
• New Jersey Podiatric Physicians & Surgeons Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Clifton, NJ
  • NPI 1578865150

  Primary Podiatric Medicine

  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1720083538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661330",
            "telephone_number": "732-382-3470",
            "fax_number": "732-301-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661330",
            "telephone_number": "732-382-3470",
            "fax_number": "732-301-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACY",
        "first_name": "BRANDON",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00126200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Lourenco
• Christina Danielle Luisi, PHARMD
• Richard Lukenda, D.M.D.
• M. Farzin Aliasgharpour, M.D., P.a.
• William Maclaney, PSYD
• Lee Michael Maisel, DMD
• Roger Maitland, PHD PSYCHOLOGY
• Regina Maj, L. AC.
• Lauren Mandell, DPT
• Kristin Marcin, MA, LPC

• Primary Podiatric Medicine Podiatrist in Clark, NJ
• Providers in Clark, NJ by specialty
• Primary Podiatric Medicine Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.

Verify at the official NPI Registry.