Individual provider Active NPI

Theresa G Ronna, DPM

  • Podiatrist
  • Franklin Lakes, NJ
National Provider Identifier
1790794238
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00243900 Issued in NJ
Practice address
784 Franklin Ave
Suite 250
Franklin Lakes, NJ 07417-1306
Phone
(201) 560-0711
Fax
(201) 560-0712
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00243900 NJ Primary

Addresses

Primary practice location

784 Franklin Ave
Suite 250
Franklin Lakes, NJ 07417-1306

Mailing address

784 Franklin Ave
Suite 250
Franklin Lakes, NJ 07417-1306
Phone (201) 560-0711

Other identifiers 1

IdentifierTypeStateIssuer
0057711MedicaidNJ

Other names 1

  • Dr. Theresa G Ronna Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040602000027 NJ Practitioner - Podiatry 8325020621 Reassigns benefits to 1 organization
I20100617000030 NY Practitioner - Podiatry 8325020621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

784 Franklin Ave
Suite 220
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue342
Removal or shaving of skin growth37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Medical Group, LLC Podiatrist CurrentSince Jan 1, 2022 Accepting new patients
Kayal Orthopaedic, PLLC Podiatrist CurrentSince May 18, 2024 Accepting new patients
Richard Rouder, DPM, PC Podiatrist PastSince May 2, 2016 Accepting new patients
Big City Physical Therapy, PLLC PastSince Sep 1, 2017 Accepting new patients

Locations

784 Franklin Ave
Ste 220
Franklin Lakes, NJ 07417

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

266 Harristown Rd
Ste 107
Glen Rock, NJ 07452
Phone (201) 560-0711

185 N State Rt 17
Paramus, NJ 07652

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

7 E Main St
Ramsey, NJ 07446
Phone (201) 327-1400

194 Union Blvd
Totowa, NJ 07512
Phone (973) 790-1303

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

260 Old Hook Rd
Ste 401
Westwood, NJ 07675
Phone (201) 560-0711

16 Squadron Blvd
Ste 102
New City, NY 10956
Phone (845) 634-2225

11 Holt Dr
Stony Point, NY 10980
Phone (845) 942-4355

11 Holt Dr
Ste 101
Stony Point, NY 10980

Interoperability endpoints

  • Direct secure messaging: theresa.ronna@ko.eclinicaldirectplus.com
  • Direct secure messaging: tronna191602@ahs.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1790794238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "address_2": "SUITE 250",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "201-560-0711",
            "fax_number": "201-560-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "address_2": "SUITE 250",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "201-560-0711",
            "fax_number": "201-560-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONNA",
        "first_name": "THERESA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00243900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057711",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "RONNA",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Franklin Lakes, NJ

Sources for this page

Verify at the official NPI Registry.