Individual provider Active NPI

Lawrence J Menditto, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Ocean, NJ
National Provider Identifier
1871569608
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD02106 Issued in NJ
Practice address
3200 Sunset Ave Ste 201
Ocean, NJ 07712-4556
Phone
(732) 531-4545
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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 MD02106 NJ Primary

Addresses

Primary practice location

3200 Sunset Ave Ste 201
Ocean, NJ 07712-4556

Mailing address

3200 Sunset Ave Ste 201
Ocean, NJ 07712-4556
Phone (732) 531-4545

Other identifiers 1

IdentifierTypeStateIssuer
P00146648OtherNJRRB

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
I20040607000645 NJ Practitioner - Podiatry 3971585787 Reassigns benefits to 1 organization

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)

3200 Sunset Ave
Suite 201
Ocean, NJ 07712-4556
Phone (732) 531-4545

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue172
Removal of skin lesions14
Removal of nail tissue2068
Removal or shaving of skin growth369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2106NJMDPsychologist
MD02106NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence J Menditto DPM PC Foot & Ankle Surgery CurrentSince Apr 1, 1992 Accepting new patients
Hal Ornstein Et Al PTR Affiliated Foot & Ankle Center LLP Past Accepting new patients

Locations

3200 Sunset Ave
Ste 201
Ocean, NJ 07712
Phone (732) 531-4545

3200 Sunset Ave
Ocean, NJ 07712
Phone (732) 502-0007

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1871569608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SUNSET AVE STE 201",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124556",
            "telephone_number": "732-531-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SUNSET AVE STE 201",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124556",
            "telephone_number": "732-531-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDITTO",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD02106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "P00146648",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.