ZACHARY CRISWELL (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1023429651

ZACHARY CRISWELL (DPM) is a healthcare provider. based in Newark, New Jersey. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 007140 (NY). The NPI Number for ZACHARY CRISWELL (DPM) is 1023429651

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY CRISWELL (DPM)
NPI
1023429651
Phone
Not provided
Address
30 BERGEN ST RM 1205
Enumeration Date
16 May 2014
Last Update Date
7 March 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5185838343
Graduation Year
2014 (12 years ago)
PAC ID
9234402736
Group Practice PAC ID
6406740273
Professional Enrollment ID
I20210128000692
Address ID
NY128661003SA211XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,074 PODIATRY in NJ

Provider Addresses for ZACHARY CRISWELL (DPM)

  • 30 BERGEN ST RM 1205

    NEWARK, NJ 071073000

    Phone:

    Type: Mailing

  • 230 E RIDGEWOOD AVE

    PARAMUS, NJ 07652

    Phone: (201) 225-7130

    Fax: (201) 967-4117

    Type: Location

  • 3065 ROUTE 50

    SARATOGA SPRINGS, NY 128662960

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $870.

Total Amount is formed as General ($870) + Research ($0) + Ownership ($0) = $870.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Prodigy Surgical Distribution, Inc. ($473).

Total Amount

$870

General + Research + Ownership

Payments

8

Total payment records

General Amount

$870

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210128000692IPodiatryNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes362219$0
73630X-ray of foot, minimum of 3 views10584$0
11721Removal of fingernails or toenails, 6 or more nails9661$0
99212Established patient office or other outpatient visit, 10-19 minutes5242$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 07107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406740273View full group profile
NameSpecialtyState
-NY
Nurse PractitionerNY
Orthopedic SurgeryNY
Physician AssistantNY
Physician AssistantNY
-NY
Family PracticeNY
U R O L O G YNY
Physician AssistantNY
Physician AssistantNY

Reviews

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Frequently asked questions

Is ZACHARY CRISWELL (DPM) listed with a National Provider Identifier?
Yes — ZACHARY CRISWELL (DPM) has NPI 1023429651 on file in the registry.
Active or inactive — what applies to ZACHARY CRISWELL (DPM)?
You should see ZACHARY CRISWELL (DPM) as active in CMS-hosted NPPES data.
How would a patient describe ZACHARY CRISWELL (DPM)'s focus?
For ZACHARY CRISWELL (DPM), the primary taxonomy reads as Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is ZACHARY CRISWELL (DPM) located near Newark?
ZACHARY CRISWELL (DPM) currently maps to Newark, New Jersey in this extract.
When was this NPI issued?
Enumeration for ZACHARY CRISWELL (DPM) is noted as May 16, 2014 where the registry provides it.

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