NPIMap

Organization Active NPI

Saccomanno Podiatry PLLC

  • Podiatrist
  • Commack, NY
National Provider Identifier
1336732056
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SACCOMANNO PODIATRY PLLC
Practice address
19 Harned Rd
Commack, NY 11725-3513
Phone
(631) 864-3338
Fax
(631) 864-8166
NPI assigned
Feb 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Dr. Rosario Saccomanno, D.P.M.NPI 1710407655
Title
Podiatrist
Phone
(631) 864-3338

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

19 Harned Rd
Commack, NY 11725-3513

Mailing address

19 Harned Rd
Commack, NY 11725-3513
Phone (631) 864-3338

National Provider Directory

National Provider Directory

Locations

35 Shore Rd
East Setauket, NY 11733
Phone (631) 689-0202

Practitioners & affiliated clinicians

Practitioners 7

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": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1336732056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HARNED RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253513",
            "telephone_number": "631-864-3338",
            "fax_number": "631-864-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HARNED RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253513",
            "telephone_number": "631-864-3338",
            "fax_number": "631-864-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACCOMANNO PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "SACCOMANNO",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "631-864-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.