Active NPI
Steven Michael Grant, DPM
- Podiatrist
- Sicklerville, NJ
National Provider Identifier
1861555070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00212100
- Practice address
- 485 Williamstown Rd
Sicklerville, NJ 08081-1777 - Phone
- (856) 237-8080
- Fax
- (856) 740-0367
- NPI assigned
- Dec 18, 2006
- Last updated
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00212100 | NJ | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 25MD00212100 | NJ | |
| Radiology Podiatrist | 213ER0200X | 25MD00212100 | NJ | |
| Sports Medicine Podiatrist | 213ES0000X | 25MD00212100 | NJ | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00212100 | NJ |
Addresses
Primary practice location
485 Williamstown Rd
Sicklerville, NJ 08081-1777
Mailing address
485 Williamstown Rd
Sicklerville, NJ 08081-1777
Phone (856) 237-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5198500 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120131000852 | NJ | Practitioner - Podiatry | 0244343861 | Practice locations: Sicklerville, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
485 Williamstown Rd
Sicklerville, NJ 08081-1777
Phone (856) 237-8080
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 451 |
| Removal of nail tissue | 1206 |
| Removal or shaving of skin growth | 369 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Urology LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Sicklerville, NJ
- NPI 1427226372
-
- Urology Physician
- Mount Laurel, NJ
- NPI 1902826241
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Virtua Home Care at West Jersey
- Home Health Agency
- Marlton, NJ
- NPI 1316943004
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
dba Virtua Our Lady of Lourdes Hospital
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1861555070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 WILLIAMSTOWN RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080811777",
"telephone_number": "856-237-8080",
"fax_number": "856-740-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 WILLIAMSTOWN RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080811777",
"telephone_number": "856-237-8080",
"fax_number": "856-740-0367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00212100",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NJ",
"license": "25MD00212100",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "NJ",
"license": "25MD00212100",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "NJ",
"license": "25MD00212100",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00212100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5198500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.