Individual provider Active NPI

Thomas M Delauro, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Staten Island, NY
National Provider Identifier
1154322030
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N2657 Issued in NY
Practice address
438 Arden Ave
Staten Island, NY 10312-2323
Phone
(718) 984-5900
Fax
(718) 227-0990
NPI assigned
Aug 2, 2005
Reactivated
Apr 7, 2006
Last updated
Oct 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N2657 NY
Foot & Ankle Surgery Podiatrist 213ES0103X N2657 NY Primary

Addresses

Primary practice location

438 Arden Ave
Staten Island, NY 10312-2323

Mailing address

438 Arden Ave
Staten Island, NY 10312-2323
Phone (718) 984-5900

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
I20071201000041 NY Practitioner - Podiatry 7214026004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas M. Delauro, DPM, PCGroup PAC ID 0941347850, 2 clinicians

Practice addresses (Care Compare)

438 Arden Ave
Staten Island, NY 10312-2323
Phone (718) 984-5900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue307
Removal or shaving of skin growth245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N2657NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas M. Delauro, DPM, PC Foot & Ankle Surgery CurrentSince Oct 16, 2009 Accepting new patients
Thomas M. Delauro, DPM, PC Foot & Ankle Surgery CurrentSince Oct 16, 2009 Accepting new patients
Nymhc FPP Nephrology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tdelauro218740@northwell.direct-ci.com

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1154322030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 ARDEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122323",
            "telephone_number": "718-984-5900",
            "fax_number": "718-227-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 ARDEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122323",
            "telephone_number": "718-984-5900",
            "fax_number": "718-227-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAURO",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-10-12",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N2657",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N2657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.