NPIMap

Individual provider Active NPI

Joseph Cabrera, DPM

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1861475972
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
005814 Issued in NY
Practice address
2338 Richmond Rd
Staten Island, NY 10306-2346
Phone
(718) 981-0100
Fax
(718) 351-3215
NPI assigned
Nov 22, 2005
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 005814 NY Primary

Addresses

Primary practice location

2338 Richmond Rd
Staten Island, NY 10306-2346

Mailing address

401 Forest Ave
Glen Ridge, NJ 07028-1927
Phone (718) 981-0100

Other identifiers 2

IdentifierTypeStateIssuer
149882OtherNJHIGHMARK MEDICARE
02238526MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031125000720 NY Practitioner - Podiatry 7618871161 Reassigns benefits to 1 organization
I20070402000706 NJ Practitioner - Podiatry 7618871161 Reassigns benefits to 1 organization
Practice locations: Edison, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Foot and Ankle PAGroup PAC ID 7315950268, 7 clinicians

Practice addresses (Care Compare)

119 Grove St
Montclair, NJ 07042-4044
Phone (973) 783-5101

2338 Richmond Rd
Staten Island, NY 10306-2346

528 Boulevard
Keilworth, NJ 07033-1657

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7022

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue220
Removal of skin lesions1-10
Removal of nail tissue1454
Removal or shaving of skin growth381
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Foot and Ankle, P.a. Podiatrist CurrentSince Jul 1, 2020 Accepting new patients
Podiatry Associates of New York PC Podiatrist CurrentSince Jan 14, 2009 Accepting new patients
Innovative Foot and Ankle, P.a. CurrentSince Jul 1, 2020 Accepting new patients
Mermaid Operating Co, LLC Podiatrist PastSince Nov 4, 2005 Accepting new patients
Podiatry Associates of New York Podiatrist Past Accepting new patients
A Merryland Operating LLC Past Accepting new patients

Locations

528 Boulevard
Kenilworth, NJ 07033
Phone (908) 276-6624

119 Grove St
Montclair, NJ 07042
Phone (973) 744-3561

11 Ralph Pl
Ste 304
Staten Island, NY 10304
Phone (718) 980-0188

2338 Richmond Rd
Staten Island, NY 10306
Phone (718) 979-1333

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jcabrera218670@northwell.direct-ci.com

Organizations & group practices 6

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 4

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1861475972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 FOREST AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281927",
            "telephone_number": "718-981-0100",
            "fax_number": "718-351-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062346",
            "telephone_number": "718-981-0100",
            "fax_number": "718-351-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK MEDICARE",
            "identifier": "149882",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02238526",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.