Individual provider Active NPI

Willis Anthony Rosena, D.P.M.

  • Podiatrist
  • North Tonawanda, NY
National Provider Identifier
1093943235
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006696 Issued in NY
Practice address
87 Mead St
North Tonawanda, NY 14120-4444
Phone
(716) 692-1451
Fax
(716) 692-1495
NPI assigned
Jun 25, 2009
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006696 NY Primary
Foot Surgery Podiatrist 213ES0131X 006696 NY

Addresses

Primary practice location

87 Mead St
North Tonawanda, NY 14120-4444

Mailing address

87 Mead St
North Tonawanda, NY 14120-4444
Phone (716) 692-1451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150506001292 NY Practitioner - Podiatry 8325367782 Practice locations: Amherst, NY; Niagara Falls, NY
O20160330002688 NY DME Supplier - Physician - Podiatry 9931406253 Practice locations: Amherst, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4227 Maple Rd
Amherst, NY 14226-1039
Phone (716) 692-1451

6934 Williams Rd
Suite 650
Niagara Falls, NY 14304-3084
Phone (716) 682-1451

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue197
Removal of skin lesions1-10
Removal of nail tissue2588
Removal or shaving of skin growth801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Will a Rosena DPM PastSince Apr 15, 2015 Accepting new patients
Dennis G. Winiecki Past Accepting new patients
Pain Management and Headache Medicine Past Accepting new patients
Niagara Medical Services, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drrosena@rosenapodiatry.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1093943235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MEAD ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204444",
            "telephone_number": "716-692-1451",
            "fax_number": "716-692-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MEAD ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204444",
            "telephone_number": "716-692-1451",
            "fax_number": "716-692-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENA",
        "first_name": "WILLIS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006696",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.