Individual provider Active NPI

Robert Joseph Stabile, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Deer Park, NY
National Provider Identifier
1023205341
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006242 Issued in NY
Practice address
336 Commack Rd
Unit # 10
Deer Park, NY 11729-5518
Phone
(631) 392-0540
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006242 NY Primary

Addresses

Primary practice location

336 Commack Rd
Unit # 10
Deer Park, NY 11729-5518

Mailing address

336 Commack Rd
Unit # 10
Deer Park, NY 11729-5518

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
I20080811000692 NY Practitioner - Podiatry 9739253600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

373 Sunrise Hwy
West Babylon, NY 11704-5901
Phone (631) 422-3377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions1-10
Removal of nail tissue83
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince May 15, 2008 Accepting new patients
Stabile Podiatry PC Foot & Ankle Surgery CurrentSince Dec 23, 2011 Accepting new patients
Nassau Health Care Corporation CurrentSince May 15, 2008 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation Past Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

161 Hempstead Tpke
Elmont, NY 11003
Phone (516) 571-8200

460 N Main St
Freeport, NY 11520
Phone (516) 571-3410

100 Main St
Hempstead, NY 11550
Phone (516) 572-6711

290 S Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 225-2999

373 Sunrise Hwy
West Babylon, NY 11704
Phone (631) 321-6400

682 Union Ave
Westbury, NY 11590
Phone (516) 571-9500

Networks

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

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224460800000",
    "number": "1023205341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 COMMACK RD",
            "address_2": "UNIT # 10",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 COMMACK RD",
            "address_2": "UNIT # 10",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295518",
            "telephone_number": "631-392-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABILE",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.