NPIMap

Individual provider Active NPI

Michael T. Plishchuk, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Toms River, NJ
National Provider Identifier
1760675789
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00293600 Issued in 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
Last updated
Apr 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00293600 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00293600 NJ Primary

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

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
I20100208000087 NJ Practitioner - Podiatry 2466595830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

54 Bey Lea Rd
Suite 1
Toms River, NJ 08753-2978
Phone (732) 505-4500

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 tissue1264
Removal of nail tissue467
Removal or shaving of skin growth92
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00293600NJMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Heart and Lung Center Current Accepting new patients
Ocean County Foot & Ankle Surgical Associates Primary Podiatric Medicine CurrentSince Oct 15, 2012 Accepting new patients
Ocean County Foot & Ankle Surgical Associates Primary Podiatric Medicine CurrentSince Oct 15, 2012 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 PC Primary Podiatric Medicine Past Accepting new patients
South Jersey Foot & Ankle Centers Primary Podiatric Medicine PastSince Mar 1, 2021 Accepting new patients
Ocean County Foot & Ankle Surgical Associates Primary Podiatric Medicine Past Accepting new patients

Locations

638 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-3202

1178 Route 37 W
Toms River, NJ 08755
Phone (732) 240-5677

54 Bey Lea Rd
Toms River, NJ 08753
Phone 73228101006

54 Bey Lea Rd
Ste 1
Toms River, NJ 08753
Phone (732) 505-4500

61 Lacey Rd
Whiting, NJ 08759
Phone (732) 281-0100

Interoperability endpoints

  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

Organizations & group practices 8

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 4

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1760675789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BEY LEA RD",
            "address_2": "SUITE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532978",
            "telephone_number": "732-505-4500",
            "fax_number": "732-505-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BEY LEA RD",
            "address_2": "SUITE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532978",
            "telephone_number": "732-505-4500",
            "fax_number": "732-505-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISHCHUK",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00293600",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00293600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.