Organization Active NPI

Dr. Ashley Boccio DPM, PLLC

  • Podiatric Clinic/Center
  • Woodbury, NY
National Provider Identifier
1356804744
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
DR. ASHLEY BOCCIO DPM, PLLC
Practice address
20 Crossways Park Dr N Ste 304
Woodbury, NY 11797-2007
Phone
(516) 681-8866
NPI assigned
Apr 11, 2019
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Dr. Ashley Boccio, DPMNPI 1417344227
Title
Founder/Employer
Phone
(631) 478-8175

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
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

20 Crossways Park Dr N Ste 304
Woodbury, NY 11797-2007

Mailing address

20 Crossways Park Dr N Ste 304
Woodbury, NY 11797-2007
Phone (516) 681-8866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190708001424 NY Part B Supplier - Clinic/Group Practice 0840525242 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY; Woodbury, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1356804744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSWAYS PARK DR N STE 304",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972007",
            "telephone_number": "516-681-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSWAYS PARK DR N STE 304",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972007",
            "telephone_number": "516-681-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ASHLEY BOCCIO DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "BOCCIO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "FOUNDER/EMPLOYER",
        "authorized_official_telephone_number": "631-478-8175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.