Individual provider Active NPI

Patricia Ann Berran, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Orange, NJ
National Provider Identifier
1992707079
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD002169 Issued in NJ
Practice address
1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052-2956
Phone
(973) 736-9936
Fax
(973) 736-7993
NPI assigned
Jun 2, 2005
Reactivated
Mar 28, 2006
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 MD002169 NJ Primary

Addresses

Primary practice location

1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052-2956

Mailing address

1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052-2956
Phone (973) 736-9936

Other identifiers 1

IdentifierTypeStateIssuer
6765408MedicaidNJ

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
I20040308000416 NJ Practitioner - Podiatry 4486542925 Reassigns benefits to 1 organization
Practice locations: West Orange, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
State University of New York at Buffalo School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Vincent Verdi DPMGroup PAC ID 8123233517, 5 clinicians

Practice addresses (Care Compare)

1500 Pleasant Valley Way
204 Foot Health Center LLC
West Orange, NJ 07052-2956
Phone (973) 731-1266

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of nail tissue392
Removal or shaving of skin growth124
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD002169NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Foot & Ankle Surgery CurrentSince Feb 1, 2025 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC CurrentSince Feb 1, 2025 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Foot & Ankle Surgery Current Accepting new patients
Michael Vincent Verdi DPM Foot & Ankle Surgery CurrentSince Jul 1, 2021 Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

4633 US Highway 9
Howell, NJ 07731
Phone (732) 994-5333

85 S Jefferson St
Ste 2
Orange, NJ 07050
Phone (732) 994-5333

1500 Pleasant Valley Way
Ste 204
West Orange, NJ 07052
Phone (923) 731-1266

Interoperability endpoints

  • Direct secure messaging: patriciab@fhcl-nj.direct.office.nextgen.com

Organizations & group practices 7

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1992707079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "STE 305",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-736-9936",
            "fax_number": "973-736-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "STE 305",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-736-9936",
            "fax_number": "973-736-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRAN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD002169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6765408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.