Active NPI
Sumit Shailesh Dharia, D.P.M.
- Foot Surgery Podiatrist
- New Hyde Park, NY
National Provider Identifier
1194742932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N006032
- Practice address
- 100 Wilson Blvd
New Hyde Park, NY 11040-3625 - Phone
- (516) 359-3339
- Fax
- (718) 567-1774
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N006032 | NY | Primary |
Addresses
Primary practice location
100 Wilson Blvd
New Hyde Park, NY 11040-3625
Mailing address
100 Wilson Blvd
New Hyde Park, NY 11040-3625
Phone (516) 359-3339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02593988 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-6797
Hospital & facility affiliations
- VNS of Ny Home Care Chha
- Brooklyn Hospital Center - Downtown Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1877 |
| Removal of nail tissue | 50 |
| Removal or shaving of skin growth | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N006032 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumit Dharia DPM, PC | Current | Accepting new patients | |
| Mark Stempler, D.P.M., P.C. | Foot Surgery | Past | Accepting new patients |
Locations
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
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.
-
- Foot & Ankle Surgery Podiatrist
- New Hyde Park, NY
- NPI 1912143629
-
- Foot Surgery Podiatrist
- Staten Island, NY
- NPI 1982780821
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
-
- Home Health Agency
- New York, NY
- NPI 1528059805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1194742932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILSON BLVD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110403625",
"telephone_number": "516-359-3339",
"fax_number": "718-567-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WILSON BLVD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110403625",
"telephone_number": "516-359-3339",
"fax_number": "718-567-1774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHARIA",
"first_name": "SUMIT",
"middle_name": "SHAILESH",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N006032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02593988",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.