Individual provider Active NPI

Alyssa Aquilino

  • Podiatrist
  • Larchmont, NY
National Provider Identifier
1235719840
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007319 Issued in NY
Practice address
2365 Boston Post Rd Ste 200
Larchmont, NY 10538-3559
Phone
(914) 834-0111
NPI assigned
Apr 9, 2021
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 007319 NY Primary

Addresses

Primary practice location

2365 Boston Post Rd Ste 200
Larchmont, NY 10538-3559

Mailing address

2365 Boston Post Rd Ste 200
Larchmont, NY 10538-3559
Phone (914) 834-0111

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
I20250911001144 NY Practitioner - Podiatry 2961905443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Larchmont Podiatry PLLCGroup PAC ID 5890083984, 4 clinicians

Practice addresses (Care Compare)

2365 Boston Post Rd
Suite 200
Larchmont, NY 10538-3559
Phone (914) 834-0111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue277
Removal or shaving of skin growth272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007319NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
South Westchester Vein & Vascular PLLC CurrentSince May 11, 2025 Accepting new patients
Larchmont Podiatry PLLC Podiatrist CurrentSince Jul 5, 2025 Accepting new patients

Locations

2365 Boston Post Rd
Ste 200
Larchmont, NY 10538
Phone (914) 200-1586

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1235719840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 BOSTON POST RD STE 200",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383559",
            "telephone_number": "914-834-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 BOSTON POST RD STE 200",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383559",
            "telephone_number": "914-834-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUILINO",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.