DR. MARINA MANKOVETSKIY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1679715346
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,974 PODIATRY in NY
Provider Addresses for DR. MARINA MANKOVETSKIY (DPM)
130 OAKRIDGE LN
WATCHUNG, NJ 07069
Phone: (917) 817-9433
Type: Mailing
290 MADISON AVE
FL 6
NEW YORK, NY 100176306
Phone: (917) 817-9433
Type: Location
345 RTE 9
MANALAPAN, NJ 077263239
Phone: (732) 845-2200
Type: Location
80, Blackburne Terrace, Pleasantdale, West Orange, Essex County, New Jersey, 07052, United States
WEST ORANGE, NJ 070523567
Phone: (917) 817-9433
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $196.
Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.
Last reported payment date: 2023-08-14 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($75).
Total Amount
$196
General + Research + Ownership
Payments
7
Total payment records
General Amount
$196
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $75 |
| Paratek Pharmaceuticals, Inc. | $71 |
| Kerecis Limited | $50 |
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: 2009-12-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091202000162 | I | Podiatry | NJ | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07069)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NJ | |
| Family Practice, Internal Medicine | NJ |
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