Individual provider Active NPI

Michael Scotto, DPM

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1184733958
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005621 Issued in NY
Practice address
372 Manor Rd
Staten Island, NY 10314-2958
Phone
(718) 816-8634
Fax
(718) 816-8664
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005621 NY Primary

Addresses

Primary practice location

372 Manor Rd
Staten Island, NY 10314-2958

Mailing address

372 Manor Rd
Staten Island, NY 10314-2958
Phone (718) 816-8634

Other identifiers 3

IdentifierTypeStateIssuer
03335595MedicaidNY
02000333MedicaidNY
2000159000004OtherNYCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100331000418 NY Practitioner - Podiatry 2668508425 Reassigns benefits to 1 organization
I20240403001237 NJ Practitioner - Podiatry 2668508425 Reassigns benefits to 1 organization
O20100930031663 NY DME Supplier - Physician - Podiatry 1557497328 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Staten Island, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Apple St
Suite 200a
Tinton Falls, NJ 07724-2670
Phone (908) 902-9318

372 Manor Rd
Staten Island, NY 10314-2958
Phone (718) 816-8634

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions21
Removal of nail tissue171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005621NYMDRegistered Dietitian
N005621NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Scotto DPM PLLC Podiatrist CurrentSince Apr 30, 2003 Accepting new patients
Scotto Podiatry LLC Podiatrist CurrentSince Mar 25, 2024 Accepting new patients

Locations

106 Apple St
Ste 200A
Tinton Falls, NJ 07724
Phone (732) 475-0880

372 Manor Rd
Staten Island, NY 10314
Phone (718) 816-8634

Networks

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

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1184733958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142958",
            "telephone_number": "718-816-8634",
            "fax_number": "718-816-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142958",
            "telephone_number": "718-816-8634",
            "fax_number": "718-816-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTO",
        "first_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03335595",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02000333",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2000159000004",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.