Individual provider Active NPI

Donald Spector, DPM

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1114990546
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N3990 Issued in NY
Practice address
259 W 231St St
Bronx, NY 10463-3903
Phone
(718) 548-3080
Fax
(718) 548-3157
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N3990 NY Primary

Addresses

Primary practice location

259 W 231St St
Bronx, NY 10463-3903

Mailing address

259 W 231St St
Bronx, NY 10463-3903
Phone (718) 548-3080

Other identifiers 2

IdentifierTypeStateIssuer
36812POtherNYHIP PROVIDER NUMBER
00908787MedicaidNY

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
I20100726000669 NY Practitioner - Podiatry 0648303735 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

259 W 231St St
Bronx, NY 10463-3903
Phone (718) 548-3080

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions34
Removal of nail tissue752
Removal or shaving of skin growth85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N3990NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Donald Spector Podiatrist CurrentSince Aug 1, 1988 Accepting new patients

Locations

259 W 231st St
Bronx, NY 10463
Phone (212) 548-3080

Networks

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

Organizations & group practices 1

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1114990546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633903",
            "telephone_number": "718-548-3080",
            "fax_number": "718-548-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633903",
            "telephone_number": "718-548-3080",
            "fax_number": "718-548-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N3990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER NUMBER",
            "identifier": "36812P",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00908787",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.