Individual provider Active NPI

Frederick D Foti Jr., MD

  • Dermatology Physician
  • Moorestown, NJ
National Provider Identifier
1972528495
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA58098 Issued in NJ
Practice address
702 East Main Street
Triangle Medical Arts BLDG
Moorestown, NJ 08057
Phone
(856) 235-6565
Fax
(856) 235-6566
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA58098 NJ Primary

Addresses

Primary practice location

702 East Main Street
Triangle Medical Arts BLDG
Moorestown, NJ 08057

Mailing address

110 Marter Ave Ste 102
Moorestown, NJ 08057-3124
Phone (856) 235-6565

Other practice location 1

110 Marter Ave Ste 102
Moorestown, NJ 08057-3124
Phone (856) 235-6565

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000249 NJ Practitioner - Dermatology 5193902658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moorestown Dermatology Associates PAGroup PAC ID 9537349550, 8 clinicians

Practice addresses (Care Compare)

110 Marter Ave
Suite 102
Moorestown, NJ 08057-3124
Phone (856) 235-6565

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions913
Removal or shaving of skin growth14
Skin biopsy160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA58098NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moorestown Dermatology Associates PA Dermatology CurrentSince Dec 2, 1999 Accepting new patients
Hudson MD Group CurrentSince Jan 6, 2026 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

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

110 Marter Ave
Ste 102
Moorestown, NJ 08057
Phone (856) 222-4100

469 Livingston St
Norwood, NJ 07648
Phone (201) 750-1600

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

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1972528495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE STE 102",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-235-6565",
            "fax_number": "856-235-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 EAST MAIN STREET",
            "address_2": "TRIANGLE MEDICAL ARTS BLDG",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-235-6565",
            "fax_number": "856-235-6566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Marter Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573124",
            "country_code": "US",
            "telephone_number": "856-235-6565",
            "fax_number": "856-235-6566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOTI",
        "first_name": "FREDERICK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA58098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.