Richard Panvini, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004421 Issued in NY

Practice address

2 McLane Dr
Dix Hills, NY 11746-5509

Phone

(631) 595-1511

Fax

(631) 595-1511

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278201600000",
    "number": "1013918846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MCLANE DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465509",
            "telephone_number": "631-595-1511",
            "fax_number": "631-595-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MCLANE DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465509",
            "telephone_number": "631-595-1511",
            "fax_number": "631-595-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANVINI",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01182329",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Blair Paley, M.A.
• Bonnie Palmaccio, MS
• Nicole C Palmieri, NP
• Robert Palumbo, PH. D.
• Rosemary Panaro, LCSW
• Cara Paolillo-Morocco
• Christine Paolillo, PTA
• Jaclyn Papeo
• Gianna Parise
• Dean Parker, PH.D.

• Podiatrist in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2010; 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.

Verify at the official NPI Registry.