Individual provider Active NPI

Matthew Augustus Pitre, DPM

  • Foot Surgery Podiatrist
  • Huntington, NY
National Provider Identifier
1063032019
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
007306 Issued in NY
Practice address
181 Main St
Huntington, NY 11743-6918
Phone
(631) 427-3678
NPI assigned
Apr 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC007088 PA
Foot Surgery Podiatrist 213ES0131X 007306 NY Primary

Addresses

Primary practice location

181 Main St
Huntington, NY 11743-6918

Mailing address

2110 Northern Blvd Ste 208
Manhasset, NY 11030-3500
Phone (516) 869-3300

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
I20230616000354 NY Practitioner - Podiatry 3577921964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Podiatry of Manhasset, PLLCGroup PAC ID 6406917343, 17 clinicians

Practice addresses (Care Compare)

7001 Grand Ave
Maspeth, NY 11378-1820
Phone (718) 639-0499

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue68
Removal of skin lesions24
Removal of nail tissue1210
Removal or shaving of skin growth445
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007306NYMDAcupuncturist
SC007088PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Podiatry of Manhasset, PLLC Foot & Ankle Surgery CurrentSince Jan 20, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 Middle Country Rd
Coram, NY 11727
Phone (631) 696-9636

181 Main St
Huntington, NY 11743
Phone (631) 335-3584

181 Main St
Ste 207
Huntington, NY 11743
Phone (516) 869-3300

2110 Northern Blvd
Ste 208
Manhasset, NY 11030
Phone (516) 627-5113

7001 Grand Ave
Maspeth, NY 11378
Phone (718) 639-0499

201 Portion Rd
Ste C
Ronkonkoma, NY 11779
Phone (631) 467-2813

20 Crossways Park Dr N
Ste 304
Woodbury, NY 11797
Phone (516) 681-8866

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1063032019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 NORTHERN BLVD STE 208",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303500",
            "telephone_number": "516-869-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436918",
            "telephone_number": "631-427-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITRE",
        "first_name": "MATTHEW",
        "middle_name": "AUGUSTUS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007088",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "007306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.