Individual provider Active NPI

Elaine Alicakos, DPM

  • Foot Surgery Podiatrist
  • Mahwah, NJ
National Provider Identifier
1861493397
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
MD001807 Issued in NJ
Practice address
400 Franklin Tpke
Suite 202
Mahwah, NJ 07430-3516
Phone
(201) 818-9114
Fax
(201) 934-8223
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X MD001807 NJ Primary

Addresses

Primary practice location

400 Franklin Tpke
Suite 202
Mahwah, NJ 07430-3516

Mailing address

400 Franklin Tpke
Suite 202
Mahwah, NJ 07430-3516
Phone (201) 818-9114

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
I20110607000497 NJ Practitioner - Podiatry 0547466195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

400 Franklin Tpke
Suite 202
Mahwah, NJ 07430-3516
Phone (201) 818-9114

Hospital & facility affiliations

  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions36
Removal of nail tissue1956
Removal or shaving of skin growth1351
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD001807NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Curalta Medical LLC Foot Surgery CurrentSince Jun 1, 2022 Accepting new patients
Proactive Foot and Ankle CurrentSince Jul 2, 2022 Accepting new patients
Curalta Medical LLC Foot Surgery CurrentSince Jun 1, 2022 Accepting new patients
Proactive Foot and Ankle CurrentSince Jul 2, 2022 Accepting new patients

Locations

1033 Clifton Ave
Ste 110
Clifton, NJ 07013
Phone (973) 365-2208

400 Franklin Tpke
#202
Mahwah, NJ 07430
Phone (201) 236-3622

400 Franklin Tpke
Ste 202
Mahwah, NJ 07430
Phone (201) 236-3622

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

Organizations & group practices 4

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.

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1861493397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FRANKLIN TPKE",
            "address_2": "SUITE 202",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303516",
            "telephone_number": "201-818-9114",
            "fax_number": "201-934-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANKLIN TPKE",
            "address_2": "SUITE 202",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303516",
            "telephone_number": "201-818-9114",
            "fax_number": "201-934-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICAKOS",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD001807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

Verify at the official NPI Registry.