Individual provider Active NPI

Theodore Roberto, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
National Provider Identifier
1730417130
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00301200 Issued in NJ
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

Updated by the provider on Feb 26, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000015 NJ Practitioner - Podiatry 5597892612 Reassigns benefits to 2 organizations

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
New Jersey Foot and Ankle Specialists LLCGroup PAC ID 5991969230, 2 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue107
Removal of skin lesions274
Removal of nail tissue2881
Removal or shaving of skin growth1426
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00301200NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Foot and Ankle Specialists LLC Foot & Ankle Surgery CurrentSince Apr 17, 2012 Accepting new patients
Kenneth Donovan DPM LLC Foot & Ankle Surgery Current Accepting new patients
Erickson Health Medical Group of New Jersey PC CurrentSince Apr 14, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.