Individual provider Active NPI

Aman Fatima, D.P.M

  • Podiatrist
  • Long Island City, NY
National Provider Identifier
1336673565
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301292 Issued in VA
Practice address
2911 Queens PLZ N Apt 25a
Long Island City, NY 11101-4045
Phone
(240) 374-3062
NPI assigned
Apr 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103301292 VA Primary

Addresses

Primary practice location

2911 Queens PLZ N Apt 25a
Long Island City, NY 11101-4045

Mailing address

8704 Rolling Rd
Manassas, VA 20110-4253
Phone (703) 361-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20201007003177 VA Practitioner - Podiatry 7416291828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manassas Foot Clinic PLLCGroup PAC ID 6406080555, 3 clinicians

Practice addresses (Care Compare)

8704 Rolling Rd
Manassas, VA 20110-4253
Phone (703) 361-3132

Hospital & facility affiliations

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 tissue799
Removal of skin lesions24
Removal of nail tissue53
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manassas Foot Clinic PLLC Podiatrist CurrentSince Aug 4, 2020 Accepting new patients
Manassas Foot Clinic Inc Podiatrist Past Accepting new patients

Locations

8704 Rolling Rd
Manassas, VA 20110
Phone (703) 361-3132

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1336673565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 ROLLING RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104253",
            "telephone_number": "703-361-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 QUEENS PLZ N APT 25A",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014045",
            "telephone_number": "240-374-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIMA",
        "first_name": "AMAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.