Individual provider Active NPI

Richard Armand Lacerte Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1295736619
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
005861 Issued in NY
Practice address
1379 54TH St
Suite 2
Brooklyn, NY 11219-4259
Phone
(718) 436-4220
Fax
(718) 436-3930
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 005861 NY Primary

Addresses

Primary practice location

1379 54TH St
Suite 2
Brooklyn, NY 11219-4259

Mailing address

73 Green Ash Street
Monroe, NJ 08831
Phone (718) 436-4220

Other identifiers 1

IdentifierTypeStateIssuer
02269381MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241021000209 NH Practitioner - Podiatry 7012814403 Reassigns benefits to 1 organization
O20100930097502 NY DME Supplier - Physician - Podiatry 1052525680 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

44 W Webster St
Manchester, NH 03104-2912
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue4746
Removal or shaving of skin growth501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC CurrentSince Aug 16, 2024 Accepting new patients
Healthdrive Podiatry Group, PC CurrentSince Aug 16, 2024 Accepting new patients
Kings Medical PC PastSince Mar 16, 2007 Accepting new patients
Park Slope Physician Services PC Past Accepting new patients
Boro Park Medical P.C. PastSince Feb 18, 2000 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

44 W Webster St
Manchester, NH 03104
Phone (603) 547-5900

Networks

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

Organizations & group practices 5

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1295736619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 GREEN ASH STREET",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "08831",
            "telephone_number": "718-436-4220",
            "fax_number": "718-436-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 54TH ST",
            "address_2": "SUITE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194259",
            "telephone_number": "718-436-4220",
            "fax_number": "718-436-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACERTE",
        "first_name": "RICHARD",
        "middle_name": "ARMAND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "005861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02269381",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.