Organization Active NPI

Bypass Footcare P.C.

  • Podiatrist
  • Hauppauge, NY
National Provider Identifier
1003936212
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003762 Issued in NY
Legal business name
BYPASS FOOTCARE P.C.
Practice address
111 Smithtown Byp Ste 103
Hauppauge, NY 11788-2512
Phone
(631) 724-3338
Fax
(631) 724-2860
NPI assigned
Mar 30, 2007
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Dr. Robert Matthew Locastro, DPMNPI 1982606323
Title
Doctor
Phone
(631) 724-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X N003762 NY Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X N004738 NY

Addresses

Primary practice location

111 Smithtown Byp Ste 103
Hauppauge, NY 11788-2512

Mailing address

111 Smithtown Byp Ste 103
Hauppauge, NY 11788-2512
Phone (631) 724-3338

Other identifiers 1

IdentifierTypeStateIssuer
00873914MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090930000192 NY Part B Supplier - Clinic/Group Practice 6901796200 Receives reassigned benefits from 1 practitioner
Practice locations: Hauppauge, NY

National Provider Directory

National Provider Directory

Locations

111 Smithtown Byp
Ste 1
Hauppauge, NY 11788
Phone (631) 724-3338

111 Smithtown Byp
Ste 103
Hauppauge, NY 11788
Phone (631) 724-3338

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1003936212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP STE 103",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882512",
            "telephone_number": "631-724-3338",
            "fax_number": "631-724-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP STE 103",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882512",
            "telephone_number": "631-724-3338",
            "fax_number": "631-724-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYPASS FOOTCARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "LOCASTRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "631-724-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003762",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004738",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00873914",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.