NPIMap

Individual provider Active NPI

James Polowczyk

  • Foot & Ankle Surgery Podiatrist
  • Brick, NJ
National Provider Identifier
1932371416
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00299900 Issued in NJ
Practice address
457 Jack Martin Blvd
Brick, NJ 08724-7776
Phone
(732) 840-7500
NPI assigned
Mar 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00299900 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X SC005933 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00299900 NJ Primary

Addresses

Primary practice location

457 Jack Martin Blvd
Brick, NJ 08724-7776

Mailing address

457 Jack Martin Blvd
Brick, NJ 08724-7776
Phone (732) 840-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000180 NJ Practitioner - Podiatry 6901951268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

2315 Route 34
Manasquan, NJ 08736-1444
Phone (732) 974-0404

457 Jack Martin Blvd
Suite 1
Brick, NJ 08724-7776
Phone (732) 840-7500

765 Lacey Rd
Forked River, NJ 08731-1304
Phone (732) 840-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00299900NJMDFoot & Ankle Surgery Podiatrist
SC005933PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince Dec 10, 2018 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Dec 10, 2018 Accepting new patients
Orthonj LLC CurrentSince Apr 1, 2021 Accepting new patients
Orthonj LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

457 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 840-7500

475 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 458-6600

765 Lacey Rd
Forked River, NJ 08731
Phone (732) 840-7500

901 W Main St
Bldg A
Freehold, NJ 07728
Phone (732) 840-7500

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

999 Route 73 N
Ste 401
Marlton, NJ 08053

Organizations & group practices 4

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 7

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": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1932371416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247776",
            "telephone_number": "732-840-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247776",
            "telephone_number": "732-840-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOWCZYK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00299900",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005933",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00299900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.