Individual provider Active NPI

Nicole Marie Delauro, DPM

  • Foot & Ankle Surgery Podiatrist
  • Staten Island, NY
National Provider Identifier
1205075082
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006303 Issued in NY
Practice address
438 Arden Ave
Staten Island, NY 10312-2323
Phone
(718) 984-5900
Fax
(718) 227-0990
NPI assigned
Feb 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006303 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 NJ, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090514000538 NJ Practitioner - Podiatry 3072662444 Reassigns benefits to 1 organization
I20091030000019 NY Practitioner - Podiatry 3072662444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Center of New Jersey LLCGroup PAC ID 8527026335, 6 clinicians
Skybridge Healthcare Limited Liability CompanyGroup PAC ID 6901117084, 8 clinicians
Thomas M. Delauro, DPM, PCGroup PAC ID 0941347850, 2 clinicians

Practice addresses (Care Compare)

1024 Park Ave
Suite 3
Plainfield, NJ 07060-3015
Phone (908) 755-5545

155 E 76TH St
Ofc 2
New York, NY 10021-2810
Phone (973) 827-0210

16 Pocono Rd
Suite 207
Denville, NJ 07834-2907
Phone (973) 625-9446

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

5 Route 94
Suite 3B
Vernon, NJ 07462-3553

5 State RT
94 Suite 3B
Vernon, NJ 07462-3553
Phone (973) 827-0210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue120
Removal of skin lesions796
Removal of nail tissue1293
Removal or shaving of skin growth812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006303NYMDFoot & Ankle Surgery Podiatrist
006303NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Center of New Jersey LLC Foot & Ankle Surgery CurrentSince Jul 1, 2009 Accepting new patients
Humc Opco LLC Current Accepting new patients
Skybridge Healthcare Limited Liability Company CurrentSince Jun 27, 2023 Accepting new patients

Locations

16 Pocono Rd
Ste 207
Denville, NJ 07834
Phone (973) 586-9323

491 Amwell Rd
Ste 101
Hillsborough, NJ 08844
Phone (908) 359-0137

96 E Main St
Little Falls, NJ 07424
Phone (973) 256-2166

125 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 300-2450

1024 Park Ave
Ste 3
Plainfield, NJ 07060
Phone (908) 755-5545

4491 Route 27
Princeton, NJ 08540
Phone (609) 924-8333

318 Chestnut St
Roselle Park, NJ 07204
Phone (908) 241-4200

5 State Rt 94
Ste 3B
Vernon, NJ 07462
Phone (973) 300-2450

7803 4th Ave
Brooklyn, NY 11209
Phone (718) 491-4949

155 E 76th St
Ofc 2
New York, NY 10021
Phone (973) 827-0210

155 E 76th St
New York, NY 10021
Phone (212) 249-0622

Interoperability endpoints

  • Direct secure messaging: ndelauro218612@northwell.direct-ci.com
  • Direct secure messaging: nicole.delauro@direct.hobokenumc.md

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1205075082",
    "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": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.