Individual provider Active NPI

Ronda M Hindermyer, DPM

  • Podiatrist
  • Bridgeton, NJ
National Provider Identifier
1780779272
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD002442 Issued in NJ
Practice address
133 Centerton Rd
Bridgeton, NJ 08302
Phone
(856) 453-1551
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD002442 NJ Primary

Addresses

Primary practice location

133 Centerton Rd
Bridgeton, NJ 08302

Mailing address

570 Haddon Ave Ste C
Collingswood, NJ 08108-1449
Phone (856) 833-1479

Other identifiers 1

IdentifierTypeStateIssuer
7474601MedicaidNJ

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
I20040804000664 NJ Practitioner - Podiatry 2163493073 Practice locations: Woodbine, NJ; Vineland, NJ; Cape May, NJ; Rosenhayn, NJ; Port Morris, NJ; Millville, NJ; Cedarville, NJ; Bridgetown, NJ…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

133 Centerton Rd
Bridgeton, NJ 08302-3509

154 Sunny Slope Dr
Bridgeton, NJ 08302-5732
Phone (856) 451-8000

158 Sunny Slope Dr
Bridgeton, NJ 08302-5732
Phone (856) 451-5623

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue924
Removal or shaving of skin growth312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD002442NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elwyn New Jersey Past Accepting new patients
Assisted Living Concepts Inc Past Accepting new patients
George W. Ackley PH.D., P.C. Past Accepting new patients
Andrew F Drake, D.O., P.a. Past Accepting new patients
Elwyn New Jersey Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1780779272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 HADDON AVE STE C",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081449",
            "telephone_number": "856-833-1479",
            "fax_number": "856-854-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CENTERTON RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "08302",
            "telephone_number": "856-453-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDERMYER",
        "first_name": "RONDA",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7474601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.