Individual provider Active NPI

James Anthony Modugno, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monroe Township, NJ
National Provider Identifier
1720423379
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00316800 Issued in NJ
Practice address
9 Samantha Dr
Monroe Township, NJ 08831-4044
Phone
(732) 319-6124
NPI assigned
May 8, 2013
Last updated
May 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131016000528 NJ Practitioner - Podiatry 3375777816 Reassigns benefits to 2 organizations

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
Tri County Foot and Ankle Center LLCGroup PAC ID 4880774967, 3 clinicians

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

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions15
Removal of nail tissue445
Removal or shaving of skin growth118
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00316800NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Foot & Ankle Center LLC Foot & Ankle Surgery CurrentSince Jul 15, 2024 Accepting new patients
Brice Medical Center,Inc PastSince Nov 19, 2008 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.

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

Verify at the official NPI Registry.