NPIMap

Individual provider Active NPI

Alison Dewaters, DPM

  • Podiatrist
  • Freehold, NJ
National Provider Identifier
1760535462
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00296300 Issued in NJ
Practice address
301 Professional View Dr
Freehold, NJ 07728-7904
Phone
(732) 720-2555
Fax
(732) 720-2556
NPI assigned
Jan 18, 2007
Last updated
Jun 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC005798 PA
Podiatrist 213E00000X 25MD00296300 NJ Primary

Addresses

Primary practice location

301 Professional View Dr
Freehold, NJ 07728-7904

Mailing address

301 Professional View Dr
Freehold, NJ 07728-7904
Phone (732) 720-2555

Other names 1

  • Dr. Alison Dewaters-Labianca Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000679 NJ Practitioner - Podiatry 9537230222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Professional View Dr
Freehold, NJ 07728-7904
Phone (732) 720-2555

312 Applegarth Rd
Suite 1
Monroe, NJ 08831-5347
Phone (732) 720-2555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue511
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00296300NJMDPodiatrist
SC005798PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic and Sports Medicine Institute PC CurrentSince Jun 9, 2014 Accepting new patients
Advanced Orthopedic and Sports Medicine Institute PC CurrentSince Jun 9, 2014 Accepting new patients

Locations

301 Professional View Dr
Freehold, NJ 07728
Phone (732) 616-6738

501 Iron Bridge Rd
Ste 1
Freehold, NJ 07728
Phone (732) 294-8999

312 Applegarth Rd
Ste 1
Monroe Township, NJ 08831

Interoperability endpoints

  • Direct secure messaging: adewaterslabianca425074@direct.ahsys.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIEEAA

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1760535462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROFESSIONAL VIEW DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-720-2555",
            "fax_number": "732-720-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROFESSIONAL VIEW DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-720-2555",
            "fax_number": "732-720-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWATERS",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005798",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00296300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "DEWATERS-LABIANCA",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.