Individual provider Active NPI

Stanley David, D.P.M.

  • Podiatrist
  • Woodbury, NJ
National Provider Identifier
1851405013
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD000797 Issued in NJ
Practice address
297 Westwood Dr
Suite 106
Woodbury, NJ 08096-3144
Phone
(856) 848-6262
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD000797 NJ Primary

Addresses

Primary practice location

297 Westwood Dr
Suite 106
Woodbury, NJ 08096-3144

Mailing address

297 Westwood Dr
Suite 106
Woodbury, NJ 08096-3144
Phone (856) 848-6262

Other identifiers 1

IdentifierTypeStateIssuer
2165309MedicaidNJ

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
I20110104000740 NJ Practitioner - Podiatry 4183708597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1956
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David and Gilbert D P M P aGroup PAC ID 5193783934, 2 clinicians

Practice addresses (Care Compare)

297 Westwood Dr
Suite 106
West Deptford, NJ 08096-3144
Phone (856) 848-6262

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of nail tissue767
Removal or shaving of skin growth479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD000797NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
David & Gilbert D P M P a Podiatrist CurrentSince Jan 1, 1989 Accepting new patients

Locations

297 Westwood Dr
Ste 106
West Deptford, NJ 08096
Phone (609) 848-6262

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851405013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 WESTWOOD DR",
            "address_2": "SUITE 106",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963144",
            "telephone_number": "856-848-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 WESTWOOD DR",
            "address_2": "SUITE 106",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963144",
            "telephone_number": "856-848-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "STANLEY",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD000797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.