Individual provider Active NPI

Steven Mermelstein, DPM

  • Foot Surgery Podiatrist
  • Astoria, NY
National Provider Identifier
1073533113
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003270 Issued in NY
Practice address
3117 Ditmars Blvd
Astoria, NY 11105-2305
Phone
(718) 274-4040
Fax
(718) 726-6414
NPI assigned
Jul 20, 2006
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N003270 NY Primary

Addresses

Primary practice location

3117 Ditmars Blvd
Astoria, NY 11105-2305

Mailing address

3117 Ditmars Blvd
Astoria, NY 11105-2305
Phone (718) 274-4040

Other identifiers 3

IdentifierTypeStateIssuer
00637169MedicaidNY
55369IOtherNYMEDICARE GHI
480010583OtherNYMEDICARE RAILROAD

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
I20090827000417 NY Practitioner - Podiatry 1557432416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boltrope Podiatry Ny PLLCGroup PAC ID 5496135329, 32 clinicians

Practice addresses (Care Compare)

3117 Ditmars Blvd
Astoria, NY 11105-2300

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
93.52
Promoting interoperability
86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions49
Removal of nail tissue877
Removal or shaving of skin growth429
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003270NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cur Alta Medical Ny PLLC Foot Surgery CurrentSince Apr 11, 2024 Accepting new patients
Cur Alta Medical Ny PLLC Foot Surgery CurrentSince Apr 11, 2024 Accepting new patients
Astoria Foot Care Group Foot Surgery CurrentSince Feb 10, 1997 Accepting new patients

Locations

3117 Ditmars Blvd
Ste A
Astoria, NY 11105
Phone (718) 274-4040

111 Main St
Nanuet, NY 10954
Phone (845) 623-5863

8612 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 846-7872

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1073533113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052305",
            "telephone_number": "718-274-4040",
            "fax_number": "718-726-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052305",
            "telephone_number": "718-274-4040",
            "fax_number": "718-726-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-09-27",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00637169",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GHI",
            "identifier": "55369I",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480010583",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.