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KENNETH DONOVAN DPM LLC
NPI 1417229493
Podiatrist - Foot & Ankle Surgery in Warren, NJ

Active since February 06, 2012
9 MOUNT BETHEL RD, SUITE 209, WARREN, NJ 07059(908) 605-0799(908) 450-1558 Get Directions Write a Review

NPPES record last updated: April 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 26, 2023, Feb 14, 2022 (2 updates tracked since 2022).

About Kenneth Donovan Dpm Llc NPPES

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

KENNETH DONOVAN DPM LLC (NPI 1417229493), doing business as Advanced Care Foot And Ankle, is a healthcare organization registered as a foot & ankle surgery in Warren, New Jersey and active in the NPI registry since February 2012. The organization maintains 2 additional practice locations and lists Kenneth James Donovan, Owner, as its authorized official.

NPPES Registry Identity

NPI1417229493
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameKENNETH DONOVAN DPM LLC
Location Address9 MOUNT BETHEL RD, SUITE 209Warren, NJ 07059-5603
Mailing Address9 Mount Bethel Rd, Suite 209Warren, NJ 07059-5603 · (908) 605-0799 · Fax (908) 450-1558
Phone(908) 605-0799
Fax(908) 450-1558
Organization SubpartNo
Authorized OfficialKenneth James DonovanOwner · (908) 605-0799
Enumeration DateFebruary 6, 2012
Last NPPES UpdateApril 20, 20252 updates tracked since enumeration
NPPES CertifiedApril 20, 2025
✔ NPI 1417229493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00302600
9 MOUNT BETHEL RD, Warren, NJ 07059
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Other Names 1

Doing Business AsAdvanced Care Foot And Ankle

Secondary Practice Locations 2

Location 1104 Commons Way Bldg AToms River, NJ 08755-6426 · Phone (732) 349-1123 · Fax (732) 349-6549
Location 2200 S Orange Ave Ste 107Livingston, NJ 07039-5817 · Phone (973) 669-1119 · Fax (973) 629-1756

Other Identifiers 1

Medicaid0951412NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Donovan Dpm Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Kenneth Donovan DPM LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Kenneth Donovan, D.P.M
Podiatry
NPI 1588804132
9 MOUNT BETHEL RD SUITE 9
Warren, NJ 07059
(908) 605-0799
✔ PECOS✔ Accepts MedicareSame address
Norman Li, DPM
Podiatry
NPI 1225614878
9 MOUNT BETHEL RD # 209
Warren, NJ 07059
(908) 605-0799
✔ PECOS✔ Accepts Medicare1.9 mi
Christine Quinn
Podiatry
NPI 1568528875
41 STONEHOUSE ROAD SUITE102
Basking Ridge, NJ 07920
(908) 766-1033
✔ PECOS✔ Accepts Medicare4.8 mi
Leonid Schreer, DPM
Podiatry
NPI 1275856924
433 BRIANT PARK DR
Springfield, NJ 07081
(732) 794-8432
✔ PECOS✔ Accepts Medicare11 mi
Kirsten Discepola, DPM
Podiatry
NPI 1780971317
1500 PLEASANT VALLEY WAY SUITE 204
West Orange, NJ 07052
(973) 731-1266
✔ PECOS✔ Accepts Medicare15 mi
Amanda Gallagher, DPM
Podiatry
NPI 1255078713
1700 ROUTE 23 STE 160
Wayne, NJ 07470
(973) 944-0226
✔ PECOS✔ Accepts Medicare25 mi
Jessica Singh, DPM
Podiatry
NPI 1841878170
67 BROADWAY
Elmwood Park, NJ 07407
(201) 794-3223
✔ PECOS✔ Accepts Medicare28 mi
Jayson Choi, DPM
Podiatry
NPI 1962857250
41 FOREST AVE
Paramus, NJ 07652
(718) 877-8420
✔ PECOS✔ Accepts Medicare31 mi
Brittany Ciaramello
Podiatry
NPI 1104288141
1801 W 32ND ST STE 102
Joplin, MO 64804
(417) 622-0648
✔ PECOS✔ Accepts Medicare1,104 mi

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

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 Kenneth Donovan Dpm LLC's NPI number?

The NPI number for Kenneth Donovan Dpm LLC is 1417229493. It was assigned to this organization in the NPPES registry on February 6, 2012. The provider is doing business as Advanced Care Foot and Ankle.

Where is Kenneth Donovan Dpm LLC located?

Kenneth Donovan Dpm LLC is located at 9 Mount Bethel Rd Suite 209, Warren, NJ 07059. The listed phone number is (908) 605-0799.

What is Kenneth Donovan Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kenneth Donovan Dpm LLC enrolled in Medicare?

Yes. Kenneth Donovan Dpm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenneth Donovan Dpm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Podiatry, reassign their Medicare billing to Kenneth Donovan Dpm LLC. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Donovan Dpm LLC was last updated on April 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.