Active NPI
Marni Ilana Kaplan Broder, DPM
- Foot & Ankle Surgery Podiatrist
- Edison, NJ
National Provider Identifier
1750519757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00297900
- Practice address
- 27 Celler Rd
Edison, NJ 08817-2971 - Phone
- (201) 674-8000
- NPI assigned
- Jun 29, 2009
- Last updated
- Jul 19, 2022
- Sex
- Female
- 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 | 25MD00297900 | NJ | Primary |
Addresses
Primary practice location
27 Celler Rd
Edison, NJ 08817-2971
Mailing address
27 Celler Rd
Edison, NJ 08817-2971
Phone (201) 674-8000
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
75 Veronica Ave
Suite 203
Somerset, NJ 08873-5002
Phone (732) 978-2700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 16 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00297900 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Health Partners | Past | Accepting new patients | |
| Park Avenue Family Foot Care P.C. | Foot & Ankle Surgery | Past | Accepting new patients |
| Central Jersey Surgical Specialists, P.a. | Past | Accepting new patients |
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.
-
- Podiatrist
- Somerset, NJ
- NPI 1063145894
-
- Podiatrist
- Plainfield, NJ
- NPI 1407544927
-
- Specialist
- Somerset, NJ
- NPI 1952360125
-
- Foot & Ankle Surgery Podiatrist
- Plainfield, NJ
- NPI 1427227677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1750519757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CELLER RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172971",
"telephone_number": "201-674-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 CELLER RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172971",
"telephone_number": "201-674-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN BRODER",
"first_name": "MARNI",
"middle_name": "ILANA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00297900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.