Organization Active NPI

Ross Hartman, DPM, PLLC

  • Foot Surgery Podiatrist
  • Hicksville, NY
National Provider Identifier
1245436617
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5926 Issued in NY
Legal business name
ROSS HARTMAN, DPM, PLLC
Practice address
400 S Oyster Bay Rd
Suite 205
Hicksville, NY 11801-3500
Phone
(516) 822-3338
Fax
(516) 935-9405
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dr. Ross Hartman, DPMNPI 1073522157
Title
Owner
Phone
(516) 822-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 5926 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X 5946390001

Addresses

Primary practice location

400 S Oyster Bay Rd
Suite 205
Hicksville, NY 11801-3500

Mailing address

400 S Oyster Bay Rd
Suite 205
Hicksville, NY 11801-3500
Phone (516) 822-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070718000584 NY Part B Supplier - Clinic/Group Practice 2062513203 Receives reassigned benefits from 1 practitioner
Practice locations: Hicksville, NY; Jamaica, NY

National Provider Directory

National Provider Directory

Locations

376 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 353-0991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1245436617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD",
            "address_2": "SUITE 205",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500",
            "telephone_number": "516-822-3338",
            "fax_number": "516-935-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD",
            "address_2": "SUITE 205",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500",
            "telephone_number": "516-822-3338",
            "fax_number": "516-935-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS HARTMAN, DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-822-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "5926",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "5946390001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.