Theodore Roberto (NPI# 1730417130, PAC ID# 5597892612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1730417130 |
| PAC ID by PECOS | 5597892612 |
| Professional Enrollment ID | I20100422000015 |
| Full Name | Theodore Roberto |
| Address |
2000 Siena Vlg Wayne NJ 07470-3590 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310015 | MORRISTOWN MEDICAL CENTER |
| 310017 | CHILTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 State Route 23 160, Wayne, NJ 07470-7513 | ||
| 2000 Siena Vlg, Wayne, NJ 07470-3590 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Street Address |
2000 SIENA VLG |
| City | WAYNE |
| State | NJ |
| Zip | 07470-3590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svetlana Grintsvayg | Clinical Social Worker | 1680 Route 23 N 310, Psychotherapy for All Ages, Wayne, NJ 07470 | |
| Paul T Staunton | Podiatry | 11 Windsor Pl, Wayne, NJ 07470-1923 | |
| Greg Steven Trentacosta | Chiropractic | 1565 Ratzer Rd, Wayne, NJ 07470-1930 | |
| Susanna N Ho | Occupational Therapy | 504 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2011 | |
| Lisa A Dragone | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Cherrielyn B Escono-quiambao | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Beatrice Carrillo | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Michael H. Leonardo | Internal Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Anthony Barravecchio | Family Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Nafeesa Siddiqui | Psychiatry | 510 Hamburg Tpke, Suite E106, Wayne, NJ 07470-2025 | |
| Find all physicians in zip 07470 | |||
| City | WAYNE |
| Zip Code | 07470 |
| Specialty | PODIATRY |
| City + Specialty | WAYNE + PODIATRY |
Please comment or provide details below to improve the information on Theodore Roberto.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.