Individual provider Active NPI

Michael Jonathan Fox, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bridgewater, NJ
National Provider Identifier
1881215929
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00375300 Issued in NJ
Practice address
720 Rte 202/206
Bridgewater, NJ 08807-1746
Phone
(908) 704-8778
Fax
(908) 704-8172
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 25MD00375300 NJ Primary

Addresses

Primary practice location

720 Rte 202/206
Bridgewater, NJ 08807-1746

Mailing address

720 Rte 202/206
Bridgewater, NJ 08807-1746
Phone (087) 048-7789

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
I20230801003273 NJ Practitioner - Podiatry 0749641116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skybridge Healthcare Limited Liability CompanyGroup PAC ID 6901117084, 8 clinicians

Practice addresses (Care Compare)

5 Route 94
Suite 3B
Vernon, NJ 07462-3560
Phone (973) 827-0210

Hospital & facility affiliations

  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue105
Removal of skin lesions280
Removal of nail tissue328
Removal or shaving of skin growth91
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skybridge Healthcare Limited Liability Company CurrentSince Jul 18, 2023 Accepting new patients
Foot and Ankle Center of New Jersey LLC Foot & Ankle Surgery CurrentSince Jan 7, 2014 Accepting new patients

Locations

720 US Highway 202/206
Bridgewater, NJ 08807
Phone (908) 704-8778

16 Pocono Rd
Ste 207
Denville, NJ 07834
Phone (973) 586-9323

15-01 Broadway
Ste 11
Fair Lawn, NJ 07410
Phone (201) 796-2151

15-01 Broadway
Fair Lawn, NJ 07410
Phone (201) 703-8487

491 Amwell Rd
Ste 101
Hillsborough, NJ 08844
Phone (908) 359-0137

96 E Main St
Ste 2
Little Falls, NJ 07424

125 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 300-2450

1024 Park Ave
Ste 3
Plainfield, NJ 07060
Phone (908) 755-5545

4491 Route 27
Princeton, NJ 08540
Phone (609) 924-8333

318 Chestnut St
Roselle Park, NJ 07204
Phone (908) 241-4200

5 State Rt 94
Ste 3B
Vernon, NJ 07462
Phone (973) 300-2450

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.

Hospital & facility affiliations 3

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1881215929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 RTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071746",
            "telephone_number": "087-048-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 RTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071746",
            "telephone_number": "908-704-8778",
            "fax_number": "908-704-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MICHAEL",
        "middle_name": "JONATHAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00375300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.