Individual provider Active NPI

Garry Shtofmakher, DPM

  • Podiatrist
  • Bloomfield, NJ
National Provider Identifier
1962897363
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00334000 Issued in NJ
Practice address
350 Bloomfield Ave Ste 5
Bloomfield, NJ 07003-4852
Phone
(973) 429-1300
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00334000 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00334000 NJ
Podiatrist 213E00000X 25MD00334000 NJ Primary
Foot Surgery Podiatrist 213ES0131X 25MD00334000 NJ

Addresses

Primary practice location

350 Bloomfield Ave Ste 5
Bloomfield, NJ 07003-4852

Mailing address

350 Bloomfield Ave Ste 5
Bloomfield, NJ 07003-4852
Phone (973) 429-1300

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
I20180522002526 NJ Practitioner - Podiatry 0749545762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

350 Bloomfield Ave
Suite 5
Bloomfield, NJ 07003-4852
Phone (973) 429-1300

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue906
Removal or shaving of skin growth218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00334000NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Curalta Medical LLC Podiatrist CurrentSince Mar 15, 2023 Accepting new patients
Proactive Foot and Ankle Foot & Ankle Surgery CurrentSince Mar 15, 2023 Accepting new patients
Curalta Medical LLC Podiatrist CurrentSince Mar 15, 2023 Accepting new patients
Hudson MD Group CurrentSince Jul 10, 2020 Accepting new patients
Footcare 2 You Podiatrist CurrentSince Jun 1, 2018 Accepting new patients
Foot Care 2 You Inc Podiatrist CurrentSince Jun 1, 2018 Accepting new patients
Proactive Foot and Ankle CurrentSince Mar 15, 2023 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

350 Bloomfield Ave
Ste 5
Bloomfield, NJ 07003
Phone (973) 259-1490

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

123 Highland Ave
Ste G1
Glen Ridge, NJ 07028
Phone (862) 333-4700

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

9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300

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

667 Eagle Rock Ave
Ste B
West Orange, NJ 07052
Phone (732) 349-5719

667 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 736-0093

Organizations & group practices 8

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1962897363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BLOOMFIELD AVE STE 5",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034852",
            "telephone_number": "973-429-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOOMFIELD AVE STE 5",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034852",
            "telephone_number": "973-429-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTOFMAKHER",
        "first_name": "GARRY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00334000",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00334000",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00334000",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00334000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.