NPIMap

Individual provider Active NPI

Mark Anthony Decotiis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Holmdel, NJ
National Provider Identifier
1851360036
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD02381 Issued in NJ
Practice address
721 N Beers St
Ste. 2C
Holmdel, NJ 07733-1518
Phone
(732) 888-1717
Fax
(732) 888-2101
NPI assigned
Mar 17, 2006
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD02381 NJ Primary

Addresses

Primary practice location

721 N Beers St
Ste. 2C
Holmdel, NJ 07733-1518

Mailing address

721 N Beers St
Ste. 2C
Holmdel, NJ 07733-1518
Phone (732) 888-1717

Other identifiers 4

IdentifierTypeStateIssuer
10654598OtherCAQH
2K6416OtherHEALTH NET
P1093167OtherOXFORD ID
PJ3001OtherEMPIRE BCBS

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
I20040811000449 NJ Practitioner - Podiatry 0244202141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Biebel and Decotiis Associates, LLCGroup PAC ID 7810961521, 5 clinicians

Practice addresses (Care Compare)

721 N Beers St
Suite 2C
Holmdel, NJ 07733-1500
Phone (732) 888-1717

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue264
Removal of skin lesions1-10
Removal of nail tissue274
Removal or shaving of skin growth123
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD02381NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Biebel & Decotiis Associates, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2004 Accepting new patients

Locations

721 N Beers St
Ste 2C
Holmdel, NJ 07733
Phone (732) 888-1717

1000 State Route 35
Ste 200
Middletown, NJ 07748
Phone (732) 837-3313

Organizations & group practices 1

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 8

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1851360036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N BEERS ST",
            "address_2": "STE. 2C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331518",
            "telephone_number": "732-888-1717",
            "fax_number": "732-888-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N BEERS ST",
            "address_2": "STE. 2C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331518",
            "telephone_number": "732-888-1717",
            "fax_number": "732-888-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOTIIS",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD02381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10654598",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K6416",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P1093167",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "PJ3001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.