Individual provider Active NPI

Elvis Rosero, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Ewing, NJ
National Provider Identifier
1942461157
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006317 Issued in NY
Practice address
1076 Parkway Ave
Ewing, NJ 08628-3002
Phone
(917) 239-5169
Fax
(609) 883-6160
NPI assigned
Jun 19, 2008
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00350300 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X N006317 NY Primary

Addresses

Primary practice location

1076 Parkway Ave
Ewing, NJ 08628-3002

Mailing address

1076 Parkway Ave
Ewing, NJ 08628-3002
Phone (917) 239-5169

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
I20190723002892 NJ Practitioner - Podiatry 6002946381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JM Podiatry Associates PCGroup PAC ID 3870805898, 12 clinicians

Practice addresses (Care Compare)

10 Schalks Crossing Rd
Plainsboro, NJ 08536-1612
Phone (609) 275-7272

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 tissue49
Removal of skin lesions1-10
Removal of nail tissue2288
Removal or shaving of skin growth421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00350300NJMDFoot & Ankle Surgery Podiatrist
N006317NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
J M Podiatry Associates PC Foot & Ankle Surgery CurrentSince Jul 1, 2019 Accepting new patients
J M Podiatry Associates PC Foot & Ankle Surgery CurrentSince Jul 1, 2019 Accepting new patients

Locations

1076 Parkway Ave
Ewing, NJ 08628
Phone (609) 883-1605

1330 Parkway Ave
Ste 6
Ewing, NJ 08628
Phone (609) 771-4222

121 Route 31
Ste 700
Flemington, NJ 08822
Phone (609) 397-0631

24 Arnett Ave
Ste 103
Lambertville, NJ 08530
Phone (609) 397-0631

10 Schalks Rd
Plainsboro, NJ 08536
Phone (609) 275-8989

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, 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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1942461157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283002",
            "telephone_number": "917-239-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283002",
            "telephone_number": "917-239-5169",
            "fax_number": "609-883-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSERO",
        "first_name": "ELVIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00350300",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

Verify at the official NPI Registry.