Individual provider Active NPI

Richard Marotto Jr., DPM

  • Podiatrist
  • Patchogue, NY
National Provider Identifier
1003905688
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005101 Issued in NY
Practice address
1 E Roe Blvd
Patchogue Medical Group
Patchogue, NY 11772-2631
Phone
(631) 475-3900
Fax
(631) 475-5166
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005101 NY Primary

Addresses

Primary practice location

1 E Roe Blvd
Patchogue Medical Group
Patchogue, NY 11772-2631

Mailing address

1 E Roe Blvd
Patchogue Medical Group
Patchogue, NY 11772-2631
Phone (631) 475-3900

Other identifiers 2

IdentifierTypeStateIssuer
A400228137OtherMEDICARE
01453992MedicaidNY

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
I20080710000765 NY Practitioner - Podiatry 4284706060 Reassigns benefits to 1 organization
Practice locations: Patchogue, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caremed Primary and Urgent Care PCGroup PAC ID 8224353727, 21 clinicians

Practice addresses (Care Compare)

1 E Roe Blvd
Patchogue, NY 11772-2631
Phone (631) 475-3900

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005101NYMDOptician
N005101NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed Primary and Urgent Care PC Podiatrist CurrentSince Nov 1, 2019 Accepting new patients
Richard Marotto DPM PastSince Jan 1, 1990 Accepting new patients
Richmond Hill Physician DO PC PastSince Feb 1, 2003 Accepting new patients

Locations

375 E Main St
Ste 26
Bay Shore, NY 11706
Phone (631) 665-2255

266 Middle Country Rd
Coram, NY 11727
Phone (631) 475-3900

765 Route 25A
Miller Place, NY 11764
Phone (631) 821-0505

765 Route 25A
Ste 6
Miller Place, NY 11764
Phone (631) 320-3200

1 E Roe Blvd
Patchogue, NY 11772
Phone (631) 475-3900

1228 E Main St
Ste C
Riverhead, NY 11901
Phone (631) 603-3400

1228 E Main St
Riverhead, NY 11901
Phone (631) 603-3400

900 Straight Path
West Babylon, NY 11704
Phone (631) 957-0066

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1003905688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ROE BLVD",
            "address_2": "PATCHOGUE MEDICAL GROUP",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722631",
            "telephone_number": "631-475-3900",
            "fax_number": "631-475-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ROE BLVD",
            "address_2": "PATCHOGUE MEDICAL GROUP",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722631",
            "telephone_number": "631-475-3900",
            "fax_number": "631-475-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROTTO",
        "first_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A400228137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01453992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.