Individual provider Active NPI

Thomas F Testa, DPM

  • Podiatrist
  • Nutley, NJ
National Provider Identifier
1902907439
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD0096600 Issued in NJ
Practice address
591 Franklin Ave
Nutley, NJ 07110
Phone
(973) 667-3412
Fax
(973) 667-3524
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD0096600 NJ Primary

Addresses

Primary practice location

591 Franklin Ave
Nutley, NJ 07110

Mailing address

242 Washington Ave
Ste a
Nutley, NJ 07110-1956
Phone (973) 667-3412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD0096600NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Ridge Surgi Center Current Accepting new patients
Modern Rehabilitation Technologies, LLC PastSince Jan 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ttesta188800@ahs.direct-ci.com

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1902907439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WASHINGTON AVE",
            "address_2": "STE A",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101956",
            "telephone_number": "973-667-3412",
            "fax_number": "973-667-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-667-3412",
            "fax_number": "973-667-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTA",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD0096600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.