Individual provider Active NPI

Yehuda Nezaria, D.P.M.

  • Foot Surgery Podiatrist
  • Rockville Centre, NY
National Provider Identifier
1194818880
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005500 Issued in NY
Practice address
2000 N Village Ave Ste 207
Rockville Centre, NY 11570-1001
Phone
(516) 887-2820
Fax
(516) 887-2638
NPI assigned
Oct 2, 2006
Last updated
Nov 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005500 NY Primary

Addresses

Primary practice location

2000 N Village Ave Ste 207
Rockville Centre, NY 11570-1001

Mailing address

2 Brayton Court South
South Setauket, NY 11720
Phone (516) 887-2820

Other practice location 1

595 Route 25A Ste 5
Miller Place, NY 11764-2648
Phone (631) 849-3330

Other identifiers 10

IdentifierTypeStateIssuer
7677235OtherNYATENA USHC
005500OtherNYHIP
1925334OtherNYUNITED HEALTH CARE
2C6586OtherNYHEALTH NET
CIGNAOtherNY5134279003
1499885OtherNYGHI
97964OtherNYVYTRA HEALTH PLAN
PB0411OtherNYBC & BS
BP0412OtherNYBC& BS
P1887381OtherNYOXFORD

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
I20050207000924 NY Practitioner - Podiatry 3274584248 Practice locations: Bellmore, NY; Miller Place, NY; Rockville Centre, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 N Village Ave
Suite 207
Rockville Centre, NY 11570-1001
Phone (516) 887-2820

2053 Bellmore Ave
Bellmore, NY 11710-5603
Phone (516) 887-2820

595 Route 25a 5
Miller Place, NY 11764-2648
Phone (631) 849-3330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as individual
Quality
69.19
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue54
Removal of skin lesions1-10
Removal of nail tissue1224
Removal or shaving of skin growth145
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005500NYMDFoot Surgery Podiatrist

Interoperability endpoints

  • Direct secure messaging: ynezaria@nezaria.sammyehrdirect.com

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1194818880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRAYTON COURT SOUTH",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "11720",
            "telephone_number": "516-887-2820",
            "fax_number": "516-887-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE STE 207",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701001",
            "telephone_number": "516-887-2820",
            "fax_number": "516-887-2638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Route 25A Ste 5",
            "address_purpose": "LOCATION",
            "city": "Miller Place",
            "state": "NY",
            "postal_code": "117642648",
            "country_code": "US",
            "telephone_number": "631-849-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEZARIA",
        "first_name": "YEHUDA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA USHC",
            "identifier": "7677235",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "005500",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1925334",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2C6586",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5134279003",
            "identifier": "CIGNA",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1499885",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA HEALTH PLAN",
            "identifier": "97964",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "PB0411",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC& BS",
            "identifier": "BP0412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1887381",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.