Individual provider Active NPI

Steven Lance Stuto, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1104313428
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N00725701 Issued in NY
Practice address
100 Remsen St
Brooklyn, NY 11201-4213
Phone
(186) 247-5377
Fax
(718) 624-7538
NPI assigned
Apr 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 681388359 NY
Foot & Ankle Surgery Podiatrist 213ES0103X N00725701 NY Primary

Addresses

Primary practice location

100 Remsen St
Brooklyn, NY 11201-4213

Mailing address

164 Paulding Ave
Staten Island, NY 10314-3267
Phone (917) 608-5644

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL brooklynpodiatrist.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230406000331 NJ Practitioner - Podiatry 8426459736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

399 N Blvd
Belmar, NJ 07719-2914

65 Bergen St
GB 120
Newark, NJ 07101-6750

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N00725701NYMDFoot & Ankle Surgery Podiatrist
681388359NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital CurrentSince Jan 1, 2023 Accepting new patients
University Hospital CurrentSince Jan 1, 2023 Accepting new patients
University Hospital Past Accepting new patients

Locations

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320

65 Bergen St
Newark, NJ 07107
Phone (973) 972-0186

140 Bergen St
Ste 1600
Newark, NJ 07103

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.

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1104313428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 PAULDING AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143267",
            "telephone_number": "917-608-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 REMSEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014213",
            "telephone_number": "186-247-5377",
            "fax_number": "718-624-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTO",
        "first_name": "STEVEN",
        "middle_name": "LANCE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "681388359",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N00725701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brooklynpodiatrist.com",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct message patient portal",
            "address_1": "100 Remsen St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112014213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.