Active NPI 1982605697 Individual Practitioner Male Practitioner

Dr. Simon Becker , DPM

Podiatrist • West Orange, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Simon Becker, DPM is a certified Podiatrist practicing in West Orange, NJ. With approximately 34 years of clinical experience since graduating from Temple University School Of Podiatric Medicine in 1992, Dr. Becker delivers high-quality medical care to the local community at 667 EAGLE ROCK AVE.

Dr. Becker accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, destruction of precancer skin growth, 2-14 growths, removal of noncancer thickened skin growth, 2-4 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

667 Eagle Rock Ave

West Orange, NJ 070522177

Telephone 9737364030

Fax 9733250969

Associated Practice Facility / Clinic

🏢 R M C N J Pa Facility NPI 1770632879

Medicare Profile & Education

Medical School

Temple University School Of Podiatric Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in West Orange, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +11.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 29.9 Yrs

Regional Practice Density

10 Specialists

Practicing in West Orange, NJ (577 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Becker (34 Years) 34 Yrs

West Orange Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,422	290	$1.08	$0.97
17003 Destruction of precancer skin growth, 2-14 growths	2,297	253	$8.48	$7.85
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,616	575	$111.67	$67.47
11721 Removal of fingernails or toenails, 6 or more nails	1,547	556	$59.43	$51.43
17000 Destruction of skin growth	962	253	$85.28	$43.16
20550 Injection into tendon or ligament	937	281	$133.35	$43.61
64450 Injection of anesthetic agent, other peripheral nerve or branch	927	284	$144.11	$88.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	883	461	$71.03	$64.76
11730 Simple separation of fingernail or toenail from nail bed, first nail	822	442	$153.50	$130.43
11000 Removal of inflamed or infected skin, up to 10% of body surface	821	303	$73.82	$35.31
93923 Complete ultrasound study of arm and leg arteries	525	512	$140.26	$130.79
10060 Simple or single drainage of skin abscess	522	250	$161.19	$147.06
99213 Established patient office or other outpatient visit, typically 15 minutes	433	351	$112.93	$103.86
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	162	76	$79.02	$73.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	144	$156.23	$146.57
11720 Removal of fingernails or toenails, 1-5 nails	147	57	$41.91	$38.33
11719 Trimming of fingernails or toenails	144	56	$17.90	$9.37
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	88	33	$98.05	$50.65
11102 Tangential biopsy of single skin lesion	72	51	$127.75	$85.03
11103 Biopsy of related skin growth, each additional growth	67	44	$63.70	$59.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$202.81	$190.52
97597 Removal of tissue from wound, 20.0 sq cm or less	55	43	$126.27	$118.80
A2001 Innovamatrix ac, per square centimeter	54	13	$1475.87	$1214.88
73620 X-ray of foot, 2 views	50	33	$36.65	$33.89
11755 Biopsy of fingernail or toenail	49	39	$154.33	$129.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$137.64	$124.55
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	25	13	$344.40	$184.82
64455 Injection of anesthetic and/or steroid drug into foot nerve	19	12	$128.88	$34.64
99341 New patient home visit, typically 20 minutes	19	19	$107.04	$55.38
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$96.62	$82.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,856	276	$1.20	$1.07
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,667	624	$111.51	$64.71
11721 Removal of fingernails or toenails, 6 or more nails	1,622	610	$58.20	$49.37
17003 Destruction of precancer skin growth, 2-14 growths	1,164	219	$8.72	$7.69
64450 Injection of anesthetic agent, other peripheral nerve or branch	1,097	275	$138.36	$80.43
20550 Injection into tendon or ligament	1,086	279	$119.09	$43.02
11000 Removal of inflamed or infected skin, up to 10% of body surface	1,053	401	$73.83	$33.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	946	484	$72.78	$60.65
11730 Simple separation of fingernail or toenail from nail bed, first nail	925	526	$152.63	$128.99
17000 Destruction of skin growth	586	219	$86.43	$42.13
93923 Complete ultrasound study of arm and leg arteries	518	512	$142.60	$125.79
10060 Simple or single drainage of skin abscess	511	265	$162.10	$141.42
99213 Established patient office or other outpatient visit, typically 15 minutes	228	205	$112.93	$99.62
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	157	84	$53.04	$46.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	124	$159.83	$139.37
11720 Removal of fingernails or toenails, 1-5 nails	90	39	$42.45	$36.99
11103 Biopsy of related skin growth, each additional growth	86	62	$65.72	$57.82
11102 Tangential biopsy of single skin lesion	84	66	$132.19	$93.57
97597 Removal of tissue from wound, 20.0 sq cm or less	80	45	$135.27	$115.41
11719 Trimming of fingernails or toenails	79	38	$18.17	$8.39
73620 X-ray of foot, 2 views	62	46	$38.57	$32.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$143.11	$123.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$206.76	$182.09
99341 New patient home visit, typically 20 minutes	42	42	$106.42	$52.36
20605 Aspiration and/or injection of medium joint or joint capsule	40	19	$113.78	$40.86
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	32	20	$97.66	$48.05
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$97.69	$80.05
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	15	15	$48.80	$32.54
64455 Injection of anesthetic and/or steroid drug into foot nerve	12	11	$156.35	$38.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,234	530	$105.49	$70.28
11000 Removal of inflamed or infected skin, up to 10% of body surface	1,232	430	$73.63	$36.22
11721 Removal of fingernails or toenails, 6 or more nails	1,043	484	$55.98	$50.02
11730 Simple separation of fingernail or toenail from nail bed, first nail	948	545	$149.91	$130.41
20550 Injection into tendon or ligament	697	259	$105.21	$42.46
64450 Injection of anesthetic agent, other peripheral nerve or branch	604	249	$191.72	$71.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	566	238	$3.26	$1.14
17003 Destruction of precancer skin growth, 2-14 growths	563	165	$8.62	$7.99
17000 Destruction of skin growth	506	182	$84.74	$46.77
10060 Simple or single drainage of skin abscess	496	259	$157.81	$143.11
93923 Complete ultrasound study of arm and leg arteries	469	462	$155.41	$130.35
97597 Removal of tissue from wound, 20.0 sq cm or less	385	150	$129.87	$119.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	296	228	$71.06	$63.34
11720 Removal of fingernails or toenails, 1-5 nails	279	143	$42.10	$37.26
11719 Trimming of fingernails or toenails	278	140	$23.98	$7.94
64455 Injection of anesthetic and/or steroid drug into foot nerve	247	149	$122.34	$31.39
20605 Aspiration and/or injection of medium joint or joint capsule	228	86	$126.07	$43.32
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	144	84	$24.99	$13.80
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	113	82	$72.41	$65.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$138.55	$125.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	94	$159.57	$143.30
73620 X-ray of foot, 2 views	82	53	$38.64	$33.50
99213 Established patient office or other outpatient visit, typically 15 minutes	78	68	$117.04	$101.55
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	77	72	$67.88	$38.29
20600 Aspiration and/or injection of fluid from small joint	28	14	$93.99	$34.56
11104 Punch biopsy, first skin growth	25	24	$161.90	$150.74
11102 Tangential biopsy of single skin lesion	24	24	$134.81	$87.93
11105 Punch biopsy, each additional skin growth	21	20	$77.66	$69.96
11103 Biopsy of related skin growth, each additional growth	16	16	$66.84	$59.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$206.23	$185.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,185	491	$149.54	$130.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	877	332	$69.05	$63.10
11000 Removal of inflamed or infected skin, up to 10% of body surface	863	284	$73.23	$34.51
11056 Removal of noncancer thickened skin growth, 2-4 growths	673	272	$103.56	$59.40
10060 Simple or single drainage of skin abscess	577	219	$157.53	$139.86
97597 Removal of tissue from wound, 20.0 sq cm or less	570	189	$128.28	$117.51
11721 Removal of fingernails or toenails, 6 or more nails	525	227	$56.06	$50.77
93923 Complete ultrasound study of arm and leg arteries	463	458	$149.87	$134.66
20550 Injection into tendon or ligament	407	175	$102.57	$37.12
64450 Injection of anesthetic agent, other peripheral nerve or branch	396	188	$175.63	$64.28
99213 Established patient office or other outpatient visit, typically 15 minutes	382	195	$111.22	$101.75
17000 Destruction of skin growth	354	109	$84.53	$44.25
11720 Removal of fingernails or toenails, 1-5 nails	274	106	$42.11	$38.41
11719 Trimming of fingernails or toenails	274	106	$24.47	$8.12
17003 Destruction of precancer skin growth, 2-14 growths	265	86	$9.54	$7.64
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	223	107	$25.00	$14.71
Q4206 Fluid flow or fluid gf, 1 cc	210	58	$2000.00	$2000.00
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	163	115	$72.18	$38.79
20605 Aspiration and/or injection of medium joint or joint capsule	125	59	$126.00	$38.00
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	103	79	$72.97	$66.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$139.18	$124.93
73620 X-ray of foot, 2 views	71	44	$36.44	$33.72
11104 Punch biopsy, first skin growth	59	55	$161.90	$151.23
20551 Injection into tendon at attachment to bone or muscle	57	38	$125.96	$40.29
11105 Punch biopsy, each additional skin growth	51	47	$77.66	$72.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$159.60	$145.75
64455 Injection of anesthetic and/or steroid drug into foot nerve	36	13	$108.44	$31.67
20600 Aspiration and/or injection of fluid from small joint	28	15	$89.01	$32.24
11750 Permanent removal fingernail or toenail	17	16	$221.51	$181.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,135	472	$56.00	$51.06
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,112	527	$140.83	$121.67
11000 Removal of inflamed or infected skin, up to 10% of body surface	870	358	$71.27	$33.70
11056 Removal of noncancer thickened skin growth, 2-4 growths	688	354	$95.03	$57.20
97597 Removal of tissue from wound, 20.0 sq cm or less	648	245	$114.08	$112.23
20550 Injection into tendon or ligament	486	200	$100.07	$39.74
11721 Removal of fingernails or toenails, 6 or more nails	482	247	$56.96	$51.75
93923 Complete ultrasound study of arm and leg arteries	463	455	$172.66	$132.58
64450 Injection of anesthetic agent, other peripheral nerve or branch	448	190	$156.69	$65.71
10060 Simple or single drainage of skin abscess	420	213	$153.10	$136.87
99213 Established patient office or other outpatient visit, typically 15 minutes	344	202	$91.32	$82.96
11719 Trimming of fingernails or toenails	294	158	$24.47	$8.24
11720 Removal of fingernails or toenails, 1-5 nails	292	158	$41.73	$37.75
17000 Destruction of skin growth	287	101	$81.85	$42.47
17003 Destruction of precancer skin growth, 2-14 growths	199	74	$8.18	$7.07
20605 Aspiration and/or injection of medium joint or joint capsule	186	91	$119.15	$40.41
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	178	106	$25.00	$14.55
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	101	78	$75.33	$66.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$132.84	$120.78
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	60	47	$48.43	$38.04
64455 Injection of anesthetic and/or steroid drug into foot nerve	54	18	$85.48	$32.39
11104 Punch biopsy, first skin growth	54	51	$161.26	$147.00
11105 Punch biopsy, each additional skin growth	53	50	$77.40	$70.53
73620 X-ray of foot, 2 views	47	33	$34.24	$32.34
20600 Aspiration and/or injection of fluid from small joint	30	16	$73.77	$31.97
11755 Biopsy of fingernail or toenail	15	15	$154.72	$121.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,920	651	$55.07	$50.19
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,716	662	$136.28	$121.42
11000 Removal of inflamed or infected skin, up to 10% of body surface	1,515	471	$62.25	$32.61
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,262	483	$82.58	$56.71
97597 Removal of tissue from wound, 20.0 sq cm or less	1,098	329	$111.88	$101.87
11721 Removal of fingernails or toenails, 6 or more nails	817	328	$55.90	$50.94
64450 Injection of anesthetic agent, other peripheral nerve or branch	714	240	$155.88	$69.51
20550 Injection into tendon or ligament	711	246	$90.91	$39.84
93923 Complete ultrasound study of arm and leg arteries	603	597	$168.53	$131.55
11719 Trimming of fingernails or toenails	549	207	$24.47	$8.30
11720 Removal of fingernails or toenails, 1-5 nails	545	208	$40.97	$37.43
99213 Established patient office or other outpatient visit, typically 15 minutes	501	285	$89.82	$81.74
17000 Destruction of skin growth	451	140	$83.79	$44.25
10060 Simple or single drainage of skin abscess	422	236	$148.47	$131.30
20605 Aspiration and/or injection of medium joint or joint capsule	347	127	$106.81	$43.43
17003 Destruction of precancer skin growth, 2-14 growths	279	92	$8.19	$6.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	185	185	$132.58	$119.39
73620 X-ray of foot, 2 views	102	56	$33.81	$30.89
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	88	75	$73.77	$65.13
11102 Tangential biopsy of single skin lesion	80	65	$114.98	$86.42
11103 Biopsy of related skin growth, each additional growth	79	65	$61.87	$60.97
20600 Aspiration and/or injection of fluid from small joint	59	28	$62.83	$34.25
64455 Injection of anesthetic and/or steroid drug into foot nerve	52	27	$74.47	$31.47
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	49	38	$48.99	$35.82
11750 Permanent removal fingernail or toenail	20	15	$253.36	$166.54
11755 Biopsy of fingernail or toenail	16	16	$152.91	$116.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	2,617	828	$49.55	$46.32
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,625	609	$67.25	$48.72
11000 Removal of inflamed or infected skin, up to 10% of body surface	1,407	463	$62.24	$31.07
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,399	613	$131.24	$110.09
11721 Removal of fingernails or toenails, 6 or more nails	1,006	382	$51.46	$48.00
97597 Removal of tissue from wound, 20.0 sq cm or less	808	292	$97.07	$90.49
20550 Injection into tendon or ligament	781	268	$79.37	$38.56
11720 Removal of fingernails or toenails, 1-5 nails	726	284	$37.05	$35.40
11719 Trimming of fingernails or toenails	717	279	$24.47	$7.87
64450 Injection of anesthetic agent, other peripheral nerve or branch	704	262	$154.47	$70.17
93923 Complete ultrasound study of arm and leg arteries	545	537	$147.69	$128.00
17000 Destruction of skin growth	499	149	$95.34	$54.31
10060 Simple or single drainage of skin abscess	445	237	$146.26	$125.02
20605 Aspiration and/or injection of medium joint or joint capsule	348	138	$98.59	$44.31
17003 Destruction of precancer skin growth, 2-14 growths	273	80	$8.19	$5.64
99213 Established patient office or other outpatient visit, typically 15 minutes	205	133	$81.42	$75.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$132.46	$112.50
73620 X-ray of foot, 2 views	123	73	$32.28	$28.28
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	118	91	$106.52	$62.06
11100 Biopsy of single growth of skin and/or tissue	89	80	$118.59	$109.79
11101 Biopsy of each additional growth of skin and/or tissue	83	75	$50.00	$34.26
64455 Injection of anesthetic and/or steroid drug into foot nerve	70	32	$54.70	$25.87
20600 Aspiration and/or injection of fluid from small joint	53	30	$63.54	$30.41
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$80.70	$78.34
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	34	29	$49.23	$32.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	2,611	940	$49.58	$47.12
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,567	716	$67.25	$51.42
11000 Removal of inflamed or infected skin, up to 10% of body surface	1,560	636	$62.23	$31.79
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,280	615	$127.68	$109.28
11721 Removal of fingernails or toenails, 6 or more nails	979	458	$50.46	$48.48
10060 Simple or single drainage of skin abscess	897	427	$146.26	$125.26
20550 Injection into tendon or ligament	725	291	$79.43	$39.10
93923 Complete ultrasound study of arm and leg arteries	677	658	$147.64	$131.33
11720 Removal of fingernails or toenails, 1-5 nails	671	417	$37.05	$35.09
11719 Trimming of fingernails or toenails	671	419	$24.47	$7.88
64450 Injection of anesthetic agent, other peripheral nerve or branch	587	272	$156.64	$72.98
97597 Removal of tissue from wound, 20.0 sq cm or less	410	184	$90.12	$83.59
17000 Destruction of skin growth	401	151	$95.34	$56.37
99213 Established patient office or other outpatient visit, typically 15 minutes	321	245	$81.39	$77.83
20605 Aspiration and/or injection of medium joint or joint capsule	285	154	$102.17	$48.27
17003 Destruction of precancer skin growth, 2-14 growths	188	80	$8.19	$6.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	178	178	$130.06	$115.23
73620 X-ray of foot, 2 views	137	79	$32.39	$28.47
11100 Biopsy of single growth of skin and/or tissue	127	109	$118.59	$92.46
64455 Injection of anesthetic and/or steroid drug into foot nerve	111	85	$54.70	$25.51
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	90	82	$87.22	$37.32
20600 Aspiration and/or injection of fluid from small joint	72	48	$62.65	$28.95
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	35	32	$49.21	$33.34
11101 Biopsy of each additional growth of skin and/or tissue	26	26	$50.00	$35.28
11750 Permanent removal fingernail or toenail	26	22	$259.00	$154.44
29540 Placement of strapping to ankle or foot	24	18	$44.15	$14.51
11755 Biopsy of fingernail or toenail	20	20	$148.80	$127.45
10140 Drainage of blood or fluid accumulation	12	11	$186.60	$178.05

Medical Specialties & State Licenses

CMS Verified: 2024-10-30

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License NJ MD00229500

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6702805 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

M Price , DDM

Podiatrist

NPI 1235394602

Dr. Leo Davidson , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1467743732

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active June 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 16, 2017

Registered at 667 EAGLE ROCK AVE, WEST ORANGE, NJ 070522177 (Tel: 9737364030)

📍

Updated Business Mailing Address June 16, 2017

Registered at 667 EAGLE ROCK AVE, WEST ORANGE, NJ 070522177 (Tel: 9737364030)

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Provider Name / Credentials Updated June 16, 2017

Recorded as SIMON BECKER, DPM

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2017

Podiatrist (License #MD00229500 in NJ)

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NPI Profile Active February 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 04, 2013

Registered at 667 EAGLE ROCK AVE, WEST ORANGE, NJ 070522177 (Tel: 9737364030)

📍

Updated Business Mailing Address February 04, 2013

Registered at 667 EAGLE ROCK AVE, WEST ORANGE, NJ 070522177 (Tel: 9737364030)

👤

Provider Name / Credentials Updated February 04, 2013

Recorded as SIMON BECKER, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2013

Podiatrist (License #MD00229500 in NJ)

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Initial NPI Registration & Enumeration August 03, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982605697

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 03, 2005

Last Update: October 30, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

667 Eagle Rock Ave

West Orange, NJ 070522177

Phone: 9737364030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.