Individual provider Active NPI

Antonious W. Eskandar, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • East Orange, NJ
National Provider Identifier
1982846911
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N0006541-1 Issued in NY
Practice address
90 Washington St Ste 308
East Orange, NJ 07017-1050
Phone
(844) 273-3428
Fax
(973) 528-8088
NPI assigned
Apr 6, 2009
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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 N0006541-1 NY Primary

Addresses

Primary practice location

90 Washington St Ste 308
East Orange, NJ 07017-1050

Mailing address

90 Washington St Ste 308
East Orange, NJ 07017-1050
Phone (347) 350-3802

Other practice location 1

40 Union Ave Ste 102
Irvington, NJ 07111-3290
Phone (844) 273-3428

Other practice location 2

14 Franklin St
Belleville, NJ 07109-1134
Phone (844) 273-3428

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
I20140131001352 NJ Practitioner - Podiatry 9335373125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

West Orange, NJ 07052
Phone (347) 350-3802

40 Union Ave
Suite 205
Irvington, NJ 07111-5859
Phone (844) 273-3428

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 tissue22
Removal of nail tissue1707
Removal or shaving of skin growth1637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0006541-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Foot Care, LLC Foot & Ankle Surgery CurrentSince Jul 23, 2013 Accepting new patients
Jay M Purvin, DPM Foot & Ankle Surgery Past Accepting new patients
Orion Healthcare LLC PastSince Dec 9, 2019 Accepting new patients

Locations

90 Washington St
East Orange, NJ 07017
Phone (973) 304-5180

90 Washington St
Ste 308
East Orange, NJ 07017
Phone (844) 273-3428

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10237/brand/1/csg/1/fhir/r4

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, 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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1982846911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST STE 308",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171050",
            "telephone_number": "347-350-3802",
            "fax_number": "973-528-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST STE 308",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171050",
            "telephone_number": "844-273-3428",
            "fax_number": "973-528-8088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Union Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Irvington",
            "state": "NJ",
            "postal_code": "071113290",
            "country_code": "US",
            "telephone_number": "844-273-3428",
            "fax_number": "973-528-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "NJ",
            "postal_code": "071091134",
            "country_code": "US",
            "telephone_number": "844-273-3428",
            "fax_number": "973-528-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESKANDAR",
        "first_name": "ANTONIOUS",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N0006541-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.