Active NPI
Toru Shimoji
- Podiatrist
- Rego Park, NY
National Provider Identifier
1215224480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N006616
- Practice address
- 6412 Wetherole St
Apt 2C
Rego Park, NY 11374-3049 - Phone
- (317) 801-4158
- NPI assigned
- Jul 7, 2011
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N006616 | NY | Primary |
Addresses
Primary practice location
6412 Wetherole St
Apt 2C
Rego Park, NY 11374-3049
Mailing address
6412 Wetherole St
Apt 2C
Rego Park, NY 11374-3049
Phone (317) 801-4158
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
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3757 91St St
Jackson Heights, NY 11372-7968
Phone (718) 898-3668
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 18 |
| Removal of nail tissue | 21 |
| Removal or shaving of skin growth | 147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006616 | NY | MD | Mental Health Counselor |
| N006616 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Footcare Now Podiatry, PLLC | Current | Accepting new patients | |
| Advanced Walk-in Foot Care, PLLC | Podiatrist | Past | Accepting new patients |
| DT Foot Care PC | Podiatrist | Past | Accepting new patients |
Locations
2747 Crescent St
Ste 105
Astoria, NY 11102
Phone (701) 898-3668
3757 91st St
Jackson Hts, NY 11372
Phone (718) 651-6500
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 3
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
- Jackson Heights, NY
- NPI 1588217640
-
- Podiatrist
- Brooklyn, NY
- NPI 1396762290
-
- Podiatrist
- Rego Park, NY
- NPI 1871986752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1215224480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6412 WETHEROLE ST",
"address_2": "APT 2C",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743049",
"telephone_number": "317-801-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6412 WETHEROLE ST",
"address_2": "APT 2C",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743049",
"telephone_number": "317-801-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMOJI",
"first_name": "TORU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N006616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.