Active NPI
James Anthony Modugno, DPM
- Foot & Ankle Surgery Podiatrist
- Monroe Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00316800
- Practice address
- 9 Samantha Dr
Monroe Township, NJ 08831-4044 - Phone
- (732) 319-6124
- NPI assigned
- May 8, 2013
- Last updated
- May 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00316800 | NJ | Primary |
Addresses
Primary practice location
9 Samantha Dr
Monroe Township, NJ 08831-4044
Mailing address
9 Samantha Dr
Monroe Township, NJ 08831-4044
Phone (732) 319-6124
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
65 Kearny Ave
Kearny, NJ 07032-4537
Phone (201) 997-5000
840 Bergen Ave
Jersey City, NJ 07306-4507
Phone (201) 535-8978
855 Broadway
Bayonne, NJ 07002-3018
Phone (201) 535-8978
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 19 |
| Removal of skin lesions | 15 |
| Removal of nail tissue | 445 |
| Removal or shaving of skin growth | 118 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00316800 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Foot & Ankle Center LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Brice Medical Center,Inc | Past | Accepting new patients | |
| Dr Michele Parker DPM PA | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
65 Kearny Ave
Kearny, NJ 07032
Phone (201) 535-8978
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Bayonne, NJ
- NPI 1962683235
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Elizabeth, NJ
- NPI 1396983037
-
dba brice medical center
- Primary Care Clinic/Center
- Elizabeth, NJ
- NPI 1205082674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1720423379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SAMANTHA DR",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "088314044",
"telephone_number": "732-319-6124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SAMANTHA DR",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "088314044",
"telephone_number": "732-319-6124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODUGNO",
"first_name": "JAMES",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00316800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.