Individual provider Active NPI

David Laning Jespersen, DPM

  • Podiatrist
  • Millville, NJ
National Provider Identifier
1881808418
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00256400 Issued in NJ
Practice address
10 E Main St Ste B
Millville, NJ 08332-4293
Phone
(856) 293-1880
Fax
(856) 293-1889
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00256400 NJ Primary

Addresses

Primary practice location

10 E Main St Ste B
Millville, NJ 08332-4293

Mailing address

10 E Main St Ste B
Millville, NJ 08332-4293
Phone (856) 293-1880

Other identifiers 3

IdentifierTypeStateIssuer
7040196OtherNJAETNA PROVIDER #
8270902MedicaidNJ
201840202OtherNJTAX ID

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
I20041202000237 NJ Practitioner - Podiatry 5294791265 Reassigns benefits to 1 organization
Practice locations: Millville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1998
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)

10 E Main St
Suite B Curalta Foot and Ankle
Millville, NJ 08332-4293
Phone (856) 293-1880

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 nail tissue1457
Removal or shaving of skin growth360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curalta Medical LLC Podiatrist CurrentSince Feb 10, 2025 Accepting new patients
Curalta Medical LLC Podiatrist CurrentSince Feb 10, 2025 Accepting new patients
Cumberland Foot and Ankle Center LLC Podiatrist CurrentSince Nov 8, 2004 Accepting new patients
Alan I Gurwood Podiatrist PastSince Oct 15, 2001 Accepting new patients
Moorestown Foot Specialists, LLC Podiatrist PastSince May 10, 1997 Accepting new patients

Locations

152 Lakeview Ave
Clifton, NJ 07011
Phone (973) 340-8970

10 E Main St
Ste B
Millville, NJ 08332
Phone (609) 404-0700

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

130 Maple Ave
Ste 3B
Red Bank, NJ 07701
Phone (732) 747-2111

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1881808418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E MAIN ST STE B",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083324293",
            "telephone_number": "856-293-1880",
            "fax_number": "856-293-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E MAIN ST STE B",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083324293",
            "telephone_number": "856-293-1880",
            "fax_number": "856-293-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESPERSEN",
        "first_name": "DAVID",
        "middle_name": "LANING",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00256400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "7040196",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8270902",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201840202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

Verify at the official NPI Registry.