Individual provider Active NPI

Anto Vincetic, DPM

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1003804394
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
005796 Issued in NY
Practice address
3626 E Tremont Ave Ste 102
Bronx, NY 10465-2030
Phone
(718) 409-0400
Fax
(718) 518-1281
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 005796 NY Primary

Addresses

Primary practice location

3626 E Tremont Ave Ste 102
Bronx, NY 10465-2030

Mailing address

3626 E Tremont Ave
Ste 102
Bronx, NY 10465
Phone (718) 409-0400

Other identifiers 1

IdentifierTypeStateIssuer
02217729MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080307000346 NY Practitioner - Podiatry 1355426842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anto Vincetic DPM PCGroup PAC ID 2365587326, 2 clinicians

Practice addresses (Care Compare)

3626 E Tremont Ave
Suite 102
Bronx, NY 10465-2030
Phone (718) 409-0400

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue238
Removal of skin lesions39
Removal of nail tissue76
Removal or shaving of skin growth41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinebrook Podiatry Services,PLLC Podiatrist Current Accepting new patients
Anto Vincetic DPM PC CurrentSince Nov 1, 2009 Accepting new patients
New York Foot Care Services PLLC Podiatrist PastSince Nov 14, 2007 Accepting new patients

Locations

3626 E Tremont Ave
Ste 102
Bronx, NY 10465
Phone (718) 409-0400

6970 Grand Central Pkwy
Forest Hills, NY 11375
Phone (347) 740-1255

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: avincetic21324@sbhny.direct-ci.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1003804394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 E TREMONT AVE",
            "address_2": "STE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "718-409-0400",
            "fax_number": "718-518-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 E TREMONT AVE STE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652030",
            "telephone_number": "718-409-0400",
            "fax_number": "718-518-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCETIC",
        "first_name": "ANTO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02217729",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.