Individual provider Active NPI

Jason William Sedgwick, DPM

  • Foot & Ankle Surgery Podiatrist
  • Westfield, NJ
National Provider Identifier
1962993378
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00370700 Issued in NJ
Practice address
116 S Euclid Ave Ste 1
Westfield, NJ 07090-2187
Phone
(908) 588-2311
Fax
(908) 588-2319
NPI assigned
May 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00370700 NJ Primary

Addresses

Primary practice location

116 S Euclid Ave Ste 1
Westfield, NJ 07090-2187

Mailing address

10208 Woodstone Cir
Princeton, NJ 08540-1036
Phone (845) 594-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221118001369 NJ Practitioner - Podiatry 9032587217 Reassigns benefits to 2 organizations
I20260624000923 NY Practitioner - Podiatry 9032587217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State SpecialistsGroup PAC ID 6800121930, 8 clinicians

Practice addresses (Care Compare)

116 S Euclid Ave
Suite 1
Westfield, NJ 07090-2187
Phone (908) 588-2311

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue133
Removal of nail tissue21
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Comp Concussion LLC CurrentSince Apr 27, 2025 Accepting new patients
Tri-State Specialists LLC CurrentSince Nov 4, 2023 Accepting new patients

Locations

1270 State Route 35
Ste 1
Middletown, NJ 07748
Phone (732) 615-3900

25 Lindsley Dr
Ste 208
Morristown, NJ 07960
Phone (862) 345-7955

119 Prospect St
Ste 3
Ridgewood, NJ 07450
Phone (201) 444-1600

300 Executive Dr
Ste 110
West Orange, NJ 07052
Phone (908) 588-2311

116 S Euclid Ave
Westfield, NJ 07090
Phone (908) 233-4801

116 S Euclid Ave
Ste 1
Westfield, NJ 07090
Phone (908) 232-5551

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 1

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1962993378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 WOODSTONE CIR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401036",
            "telephone_number": "845-594-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S EUCLID AVE STE 1",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902187",
            "telephone_number": "908-588-2311",
            "fax_number": "908-588-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDGWICK",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00370700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.