Active NPI
Dominic Fiorenza, DPM
- Podiatrist
- Hicksville, NY
National Provider Identifier
1336149855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003858-1
- Practice address
- 350 S Broadway
Hicksville, NY 11801-5006 - Phone
- (516) 938-0100
- Fax
- (516) 938-0120
- NPI assigned
- Jul 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003858-1 | NY | Primary |
Addresses
Primary practice location
350 S Broadway
Hicksville, NY 11801-5006
Mailing address
55 Water St
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
225 Froehlich Farm Blvd
Woodbury, NY 11797-2922
Phone (516) 364-5400
Other practice location 2
1991 Marcus Ave
2nd Floor
New Hyde Park, NY 11042-2057
Phone (516) 354-1600
Other practice location 3
640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324
Phone (631) 737-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003858-1 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1336149855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST",
"address_2": "2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S BROADWAY",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015006",
"telephone_number": "516-938-0100",
"fax_number": "516-938-0120"
}
],
"practiceLocations": [
{
"address_1": "225 Froehlich Farm Blvd",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NY",
"postal_code": "117972922",
"country_code": "US",
"telephone_number": "516-364-5400",
"fax_number": "516-677-3656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1991 Marcus Ave",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110422057",
"country_code": "US",
"telephone_number": "516-354-1600",
"fax_number": "516-941-4677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "640 Hawkins Ave",
"address_purpose": "LOCATION",
"city": "Lake Ronkonkoma",
"state": "NY",
"postal_code": "117792324",
"country_code": "US",
"telephone_number": "631-737-0100",
"fax_number": "631-471-1117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIORENZA",
"first_name": "DOMINIC",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003858-1",
"primary": true
}
],
"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 Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.