Douglas J McKay, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00255300 Issued in NJ

Practice address

31 Smull Avenue
Caldwell, NJ 07006-5011

Phone

(973) 228-5042

Fax

(973) 228-2826

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Douglas McKay DPM LLCGroup PAC ID 5395938609, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
• St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglas.mckay@dmdl-nj.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Douglas J McKay DPM LLC

  • Podiatrist
  • Caldwell, NJ
  • NPI 1376851063
  Medicare reassignment Care Compare group NPD Authorized official
• Albert Wacha DPM

  • Prosthetic/Orthotic Supplier
  • Caldwell, NJ
  • NPI 1649440447
  NPD (past)
• Jonathan Haber DPM PA

  • Podiatrist
  • Caldwell, NJ
  • NPI 1255536561
  NPD (past)
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD (past)
• University Physicians Group P C

  • General Practice Physician
  • Staten Island, NY
  • NPI 1104872134
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation
• Patient Care New Jersey, Inc.

  • Home Health Agency
  • Clifton, NJ
  • NPI 1013999382
  Care Compare affiliation
• Patient Care New Jersey, Inc.

  • Community Based Hospice Care Agency
  • Passaic, NJ
  • NPI 1144280017

  Home health agency

  Care Compare affiliation
• Prime Healthcare Services - St. Mary'S Passaic LLC

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761
  Care Compare affiliation

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1962428789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SMULL AVENUE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065011",
            "telephone_number": "973-228-5042",
            "fax_number": "973-228-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SMULL AVENUE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065011",
            "telephone_number": "973-228-5042",
            "fax_number": "973-228-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD002553",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005453",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00255300",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00255300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION A",
            "identifier": "5947110002",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7988605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvin Mayes Jr., PT
• Stanley Mayrowetz, MD
• Vito Mazzoccoli, M.D.
• MB Advanced Wound Care
• Jeanine McGlynn, BCBA
• Kyle Mednick, LAC
• Enmanuel Mercedes, PH.D.
• Jamie Michel, LSW
• Barbara Bergen Mintz, RD
• Janice V. Momongan, OT

• Podiatrist in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.