Michael T. Plishchuk, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Toms River, NJ
NPI 1760675789 · NPPES record last updated Apr 23, 2013
Key facts
- NPI
- 1760675789
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 25MD00293600 (NJ)
- Practice address
- 54 Bey Lea Rd
Suite 1
Toms River, NJ 08753-2978 - Phone
- (732) 505-4500
- Fax
- (732) 505-9787
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ocean County Foot and Ankle Surgical Associates PC
Practice addresses (Care Compare)
54 Bey Lea Rd
Suite 1
Toms River, NJ 08753-2978
Phone (732) 505-4500
Hospital & facility affiliations
- Visiting Nurse Association of Central Jersey Home Care and Hospice
- Community Medical Center
- Monmouth Medical Center-Southern Campus
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 | 1264 |
| Removal of nail tissue | 467 |
| Removal or shaving of skin growth | 92 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100208000087 | NJ | Practitioner - Podiatry | 2466595830 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00293600 | NJ | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean County Foot & Ankle Surgical Associates | Primary Podiatric Medicine | Current |
Accepting new patients |
| Deborah Heart and Lung Center | Current | Accepting new patients | |
| Ocean County Foot & Ankle Surgical Associates | Primary Podiatric Medicine | Current |
Accepting new patients |
| Ocean County Foot & Ankle Surgical Associates PC | Primary Podiatric Medicine | Past | Accepting new patients |
| Ocean County Foot & Ankle Surgical Associates | Primary Podiatric Medicine | Past | Accepting new patients |
| Ocean County Foot & Ankle Surgical Associates | Primary Podiatric Medicine | Past | Accepting new patients |
| Ocean County Foot & Ankle Surgical Associates | Primary Podiatric Medicine | Past | Accepting new patients |
| South Jersey Foot & Ankle Centers | Primary Podiatric Medicine | Past |
Accepting new patients |
Locations
638 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-3202
54 Bey Lea Rd
Toms River, NJ 08753
Phone 73228101006
54 Bey Lea Rd
Ste 1
Toms River, NJ 08753
Phone (732) 505-4500
1178 Route 37 W
Toms River, NJ 08755
Phone 60992688991199
61 Lacey Rd
Whiting, NJ 08759
Phone (732) 281-0100
Interoperability endpoints
- medrecs@deborah.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 25MD00293600 | NJ | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00293600 | NJ | Yes |
Addresses
Primary practice location
54 Bey Lea Rd
Suite 1
Toms River, NJ 08753-2978
Mailing address
54 Bey Lea Rd
Suite 1
Toms River, NJ 08753-2978
Phone (732) 505-4500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307947 | Medicaid | NJ |
Other providers in Toms River, NJ
- Pizzolo Chiropractic Results LLC
- Ginamarie P. Pizzolo
- Patricia Mary Plahovinsak
- Thomas John Plahovinsak
- Jordyn Platz
- Gavriel Pliver
- Paul Albert Plump
- Nicole Pniewski
- Vanessa L Pohl
- Yarilyn Polanco
All providers in Toms River, NJ · Foot & Ankle Surgery Podiatrist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.