Individual provider Active NPI

Sabine Edeline Larosiliere, DPM

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1215964606
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006075 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 618-0401
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006075 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401

Other identifiers 1

IdentifierTypeStateIssuer
02679358MedicaidNY

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
I20050510000337 NY Practitioner - Podiatry 9436199445 Reassigns benefits to 8 organizations
Practice locations: Bellerose, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
London Medical Diagnostic PCGroup PAC ID 7517988256, 3 clinicians

Practice addresses (Care Compare)

10525 64TH Ave
Forest Hills, NY 11375-1640
Phone (718) 459-3494

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions15
Removal of nail tissue637
Removal or shaving of skin growth456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006075NYMDPodiatrist
006075NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC Podiatrist CurrentSince Jul 2, 2021 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jul 2, 2021 Accepting new patients
Amityville Medical Care P.C. CurrentSince Feb 1, 2022 Accepting new patients
Total Care Podiatry PC Podiatrist CurrentSince Mar 21, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 2, 2021 Accepting new patients
House Call Medical Services of New York, PLLC Podiatrist CurrentSince Jul 2, 2021 Accepting new patients
Marvin S Becker, M.D. P.C. Past Accepting new patients
Sunlight Medical, P.C. Past Accepting new patients
Elmont Community Health Center Past Accepting new patients
Bethpage Medical Practice PLLC PastSince Nov 1, 2022 Accepting new patients
N. S. So Island Diag GRP Past Accepting new patients
Total Anesthesia Provider , PC PastSince Dec 14, 2015 Accepting new patients
Izak Herschitz MD PC Past Accepting new patients
Best Care Podiatry, PLLC Podiatrist PastSince Jan 24, 2008 Accepting new patients

Locations

100 W Oak St
Amityville, NY 11701
Phone (631) 264-1800

8 Seitz Dr
Fl 1
Bethpage, NY 11714
Phone (516) 243-9777

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

3514 Mermaid Ave
Ste 4
Brooklyn, NY 11224
Phone (718) 715-1777

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1215964606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-618-0401",
            "fax_number": "718-266-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-618-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSILIERE",
        "first_name": "SABINE",
        "middle_name": "EDELINE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02679358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.