Individual provider Active NPI

Toru Shimoji

  • Podiatrist
  • Rego Park, NY
National Provider Identifier
1215224480
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006616 Issued in NY
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

Updated by the provider on Sep 29, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213000690 NY Practitioner - Podiatry 4587882402 Reassigns benefits to 1 organization
Practice locations: Rego Park, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Footcare Now Podiatry, PLLCGroup PAC ID 1759613912, 7 clinicians

Practice addresses (Care Compare)

3757 91St St
Jackson Heights, NY 11372-7968
Phone (718) 898-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue18
Removal of nail tissue21
Removal or shaving of skin growth147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006616NYMDMental Health Counselor
N006616NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Footcare Now Podiatry, PLLC CurrentSince Jan 1, 2021 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.

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

Verify at the official NPI Registry.