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DR. THOMAS HENRY DEBENEDICTIS DPM
NPI 1194792366
Podiatrist - Foot Surgery in Union City, NJ

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
4808 BERGENLINE AVE, SUITE 202, UNION CITY, NJ 07087(201) 863-0036(201) 863-0727 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Thomas Henry Debenedictis Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS HENRY DEBENEDICTIS DPM (NPI 1194792366) is an individual foot surgery provider in Union City, New Jersey, licensed in New Jersey (MD00155300) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1984).

NPPES Registry Identity

NPI1194792366
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. THOMAS HENRY DEBENEDICTISCredential: DPM
Location Address4808 BERGENLINE AVE, SUITE 202Union City, NJ 07087-5172
Mailing Address4808 Bergenline Ave, Suite 202Union City, NJ 07087-5172 · (201) 863-0036 · Fax (201) 863-0727
Phone(201) 863-0036
Fax(201) 863-0727
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 1984
Enumeration DateMarch 7, 2006
Last NPPES UpdateJuly 21, 2010
✔ NPI 1194792366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NJ · MD00155300
4808 BERGENLINE AVE, Union City, NJ 07087
Open in Google Maps ↗

Other Identifiers 6

Other1013076256NJ · Group Npi
Other1194792366NJ · Npi
Medicaid4775104NJ
Medicare UPINU18328NJ
Medicare ID-Type Unspecified520246NJ · Medicare Group Number
Medicaid3354601NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Henry Debenedictis Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163504077
PECOS Enrollment IDI20111208000507
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Debenedictis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Debenedictis & Testa, DPM, PA
Same address
Foot Surgery
4808 BERGENLINE AVE, SUITE 202
Union City, NJ 07087
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1013076256 (201) 863-0036
Advanced Garden State Cardiology LLC
3.9 mi
Cardiovascular Disease
550 NEWARK AVE, SUITE 307
Jersey City, NJ 07306
  • Reassigned Medicare billing, New Jersey enrollment
  • 14 clinicians in this Medicare group
NPI 1639481583 (201) 418-9111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
425 services118 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
183 services71 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
136 services56 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
130 services51 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
125 services58 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
110 services48 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers13 claims26 services$59.14 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers12 claims72 services$24.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBENEDICTIS & TESTA, DPM, PA
Podiatrist (Foot Surgery)
4808 BERGENLINE AVE, SUITE 202
UNION CITY, NJ 07087
Hudson County (201) 863-0036
DR. JACK TESTA DPM
Podiatrist (Foot Surgery)
4808 BERGENLINE AVE, SUITE 202
UNION CITY, NJ 07087
Hudson County (201) 863-0036
DR. MARGARET PORTELA DPM
Podiatrist (Foot Surgery)
4808 BERGENLINE AVE, SUITE 202
UNION CITY, NJ 07087
Hudson County (201) 863-0036
DR. JOSE R FRAGOSO MD
Pediatrics (Adolescent Medicine)
4808 BERGENLINE AVE, 5TH FLOOR
UNION CITY, NJ 07087
Hudson County (201) 865-3444
JOSE FRAGOSO MD
Pediatrics
4808 BERGENLINE AVE
UNION CITY, NJ 07087
Hudson County (732) 281-3590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Debenedictis's NPI number?

The NPI number for Thomas Debenedictis is 1194792366. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Thomas Debenedictis located?

Thomas Debenedictis practices at 4808 Bergenline Ave Suite 202, Union City, NJ 07087. The listed phone number is (201) 863-0036.

What is Thomas Debenedictis's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Thomas Debenedictis enrolled in Medicare?

Yes. Thomas Debenedictis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thomas Debenedictis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Debenedictis reassigns Medicare benefits to 2 organizations: Debenedictis & Testa, DPM, PA (Union City, NJ) and Advanced Garden State Cardiology LLC (Jersey City, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Debenedictis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Debenedictis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Thomas Debenedictis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Debenedictis was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.