Kenneth Donovan DPM LLC
NPI 1417229493 · Foot & Ankle Surgery Podiatrist · Warren, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Donovan DPM LLC is a Foot & Ankle Surgery Podiatrist organization in Warren, NJ (NPI 1417229493).
Provider details
- NPI number
- 1417229493
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Donovan, Owner(908) 605-0799
- License
- 25MD00302600 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Advanced Care Foot and Ankle
Additional practice locations (2)
- 200 S Orange Ave Ste 107Livingston, NJ 07039-5817Phone: (973) 669-1119Fax: (973) 629-1756
- 104 Commons Way Bldg aToms River, NJ 08755-6426Phone: (732) 349-1123Fax: (732) 349-6549
Registry dates
- Enumerated
- 2012-02-06
- Last updated
- 2025-04-20
- Certified
- 2025-04-20
Frequently asked questions
- What is Kenneth Donovan DPM LLC's NPI number?
- Kenneth Donovan DPM LLC's National Provider Identifier (NPI) is 1417229493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth Donovan DPM LLC?
- Kenneth Donovan DPM LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Kenneth Donovan DPM LLC located?
- Kenneth Donovan DPM LLC's practice location on file with NPPES is 9 Mount Bethel Rd, Warren, NJ 07059-5603.
- What is Kenneth Donovan DPM LLC's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Donovan DPM LLC is (908) 605-0799.
- Does Kenneth Donovan DPM LLC accept Medicare?
- Kenneth Donovan DPM LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kenneth Donovan DPM LLC?
- The authorized official listed on Kenneth Donovan DPM LLC's NPPES record is Kenneth Donovan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth Donovan DPM LLC's NPI active?
- Yes — Kenneth Donovan DPM LLC's NPI (1417229493) is active in the NPPES registry as of the last update on 2025-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.