Active NPI
Theodore Roberto, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00301200
- Practice address
- 1700 Route 23 Ste 160
Wayne, NJ 07470-7513 - Phone
- (973) 944-0226
- Fax
- (973) 695-1035
- NPI assigned
- Nov 23, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 25MD00301200 | NJ | Primary |
Addresses
Primary practice location
1700 Route 23 Ste 160
Wayne, NJ 07470-7513
Mailing address
1700 Route 23 Ste 160
Wayne, NJ 07470-7513
Phone (973) 944-0226
Other practice location 1
1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Phone (973) 831-3540
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
- Temple University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Phone (973) 831-3540
1700 Route 23
Suite 160
Wayne, NJ 07470-7513
Phone (973) 944-0226
3000 Essex Rd
Tinton Falls, NJ 07753-2400
Phone (732) 643-2070
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 107 |
| Removal of skin lesions | 274 |
| Removal of nail tissue | 2881 |
| Removal or shaving of skin growth | 1426 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00301200 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Foot and Ankle Specialists LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Kenneth Donovan DPM LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Erickson Health Medical Group of New Jersey PC | Current | Accepting new patients | |
| Erickson Health Medical Group of New Jersey PC | Current | Accepting new patients |
Locations
5525 Research Park Dr
Catonsville, MD 21228
1 Cedar Crest Village Dr
Pompton Plns, NJ 07444
Phone (973) 831-3540
1700 Route 23
Ste 160
Wayne, NJ 07470
Phone (973) 944-0226
Interoperability endpoints
- troberto56791@direct.ahsys.org
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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Wayne, NJ
- NPI 1508130873
-
- Internal Medicine Physician
- Tinton Falls, NJ
- NPI 1780604991
-
- Internal Medicine Physician
- Pompton Plains, NJ
- NPI 1992725832
-
- Foot & Ankle Surgery Podiatrist
- Warren, NJ
- NPI 1417229493
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1730417130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 ROUTE 23 STE 160",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707513",
"telephone_number": "973-944-0226",
"fax_number": "973-695-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ROUTE 23 STE 160",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707513",
"telephone_number": "973-944-0226",
"fax_number": "973-695-1035"
}
],
"practiceLocations": [
{
"address_1": "1 Cedar Crest Village Dr",
"address_purpose": "LOCATION",
"city": "Pompton Plains",
"state": "NJ",
"postal_code": "074442100",
"country_code": "US",
"telephone_number": "973-831-3540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTO",
"first_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-23",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00301200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.