Individual provider Active NPI

Seth Robert Queler, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Nutley, NJ
National Provider Identifier
1811947187
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
25MA07432800 Issued in NJ
Practice address
45 Franklin Ave
Nutley, NJ 07110-3224
Phone
(973) 751-0111
Fax
(973) 235-0110
NPI assigned
May 10, 2006
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 239796 NY
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 25MA07432800 NJ Primary

Addresses

Primary practice location

45 Franklin Ave
Nutley, NJ 07110-3224

Mailing address

45 Franklin Ave
Nutley, NJ 07110-3224
Phone (973) 751-0111

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000680 NJ Practitioner - Orthopedic Surgery 4880690635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 2000
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

28 -04 Broadway
Fair Lawn, NJ 07410-3920
Phone (201) 791-4434

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Orthopaedic Associates, P.a. Foot and Ankle Surgery CurrentSince Dec 1, 2021 Accepting new patients
Garden State Orthopaedic Associates, P.a. CurrentSince Dec 1, 2021 Accepting new patients
Garden State Surgical Center, LLC Past Accepting new patients

Locations

925 Clifton Ave
Ste 106
Clifton, NJ 07013
Phone (973) 330-0700

28-04 Broadway
Fair Lawn, NJ 07410
Phone (201) 791-4434

400 Franklin Tpke
Ste 400
Mahwah, NJ 07430
Phone (201) 825-2266

Organizations & group practices 3

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 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1811947187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103224",
            "telephone_number": "973-751-0111",
            "fax_number": "973-235-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103224",
            "telephone_number": "973-751-0111",
            "fax_number": "973-235-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUELER",
        "first_name": "SETH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "239796",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NJ",
            "license": "25MA07432800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.