Individual provider Active NPI

Devindra Poonai, DPM

  • Podiatrist
  • North Brunswick, NJ
National Provider Identifier
1801942065
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD02222 Issued in NJ
Practice address
602 Livingston Ave
North Brunswick, NJ 08902-2443
Phone
(732) 246-1377
Fax
(732) 246-0858
NPI assigned
Jan 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X MD02222 NJ
Foot Surgery Podiatrist 213ES0131X MD02222 NJ
Podiatrist 213E00000X MD02222 NJ Primary

Addresses

Primary practice location

602 Livingston Ave
North Brunswick, NJ 08902-2443

Mailing address

602 Livingston Ave
North Brunswick, NJ 08902-2443
Phone (732) 246-1377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 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
I20070924000092 NJ Practitioner - Podiatry 8426142324 Reassigns benefits to 1 organization
Practice locations: North Brunswick, NJ
O20100930019455 NJ DME Supplier - Physician - Podiatry 3375757495 Practice locations: North Brunswick, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 Livingston Ave
North Brunswick, NJ 08902-2443
Phone (732) 246-1377

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1586
Removal or shaving of skin growth1243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005079NYMDRegistered Dietitian
MD02222NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Avenue Foot Care LLC Podiatrist CurrentSince Sep 15, 2011 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

602 Livingston Ave
North Brunswick, NJ 08902
Phone (732) 246-1377

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1801942065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 LIVINGSTON AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022443",
            "telephone_number": "732-246-1377",
            "fax_number": "732-246-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 LIVINGSTON AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022443",
            "telephone_number": "732-246-1377",
            "fax_number": "732-246-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POONAI",
        "first_name": "DEVINDRA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "MD02222",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD02222",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD02222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.