Comprehensive Podiatry Associates DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

COMPREHENSIVE PODIATRY ASSOCIATES DPM PC

Practice address

46 Route 25a
Ste 6
East Setauket, NY 11733

Phone

(631) 689-0202

Fax

(631) 689-2686

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ben R Dimichino, DPMNPI 1760593867

Title

President

Phone

(631) 689-0202

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ben R Dimichino, DPM

  • Podiatrist
  • East Setauket, NY
  • NPI 1760593867
  Medicare reassignment Care Compare group NPD Authorized official
• George M Devito, D.P.M.

  • Foot Surgery Podiatrist
  • East Northport, NY
  • NPI 1710986849
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1174634281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SHORE RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333920",
            "telephone_number": "631-689-0202",
            "fax_number": "631-689-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 ROUTE 25A",
            "address_2": "STE 6",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-689-0202",
            "fax_number": "631-689-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PODIATRY ASSOCIATES DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "DIMICHINO",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-689-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "792279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "114212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4450726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2545365",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1C1330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01590385",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AA47838",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Dennis Collins, M.S., P.A.
• Colon and Rectal Surgeons of Long Island, P.C.
• Eugene Anthony Coman, MD
• Complete Health Medical P.C.
• Comprehensive MRI of New York, P.C.
• Michael S Conners, MD
• Josephine Connolly-Schoonen, R.D.
• Theresa Ann Connolly, OTR
• Francine Connors
• Conscious Psychotherapy LCSW PC

• Podiatrist in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.