Active NPI
Richard Marotto Jr., DPM
- Podiatrist
- Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N005101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400228137 | Other | MEDICARE | |
| 01453992 | Medicaid | NY |
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
Enrollment records 1
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
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 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 19 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 456 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005101 | NY | MD | Optician |
| N005101 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremed Primary and Urgent Care PC | Podiatrist | Current | Accepting new patients |
| Richard Marotto DPM | Past | Accepting new patients | |
| Richmond Hill Physician DO PC | Past | 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.
-
- Internal Medicine Physician
- Patchogue, NY
- NPI 1487050134
Podiatrist
-
- Specialist
- Stony Brook, NY
- NPI 1477616001
-
- Adult Medicine Physician
- South Richmond Hill, NY
- NPI 1306017843
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.