Individual provider Active NPI

Charles J Passet, DPM

  • Foot Surgery Podiatrist
  • Forest Hills, NY
National Provider Identifier
1366488611
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003006 Issued in NY
Practice address
6357 108TH St
Forest Hills, NY 11375-1607
Phone
(718) 896-6369
Fax
(718) 896-6159
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N003006 NY Primary

Addresses

Primary practice location

6357 108TH St
Forest Hills, NY 11375-1607

Mailing address

6357 108TH St
Forest Hills, NY 11375-1607
Phone (718) 896-6369

Other identifiers 1

IdentifierTypeStateIssuer
00440524MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040518001338 NY Practitioner - Podiatry 2062403215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Valley Foot Associates LLPGroup PAC ID 3072403369, 12 clinicians
Boltrope Podiatry Ny PLLCGroup PAC ID 5496135329, 32 clinicians

Practice addresses (Care Compare)

6357 108TH St
Forest Hills, NY 11375-1607
Phone (718) 896-6369

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 tissue193
Removal of skin lesions84
Removal of nail tissue214
Removal or shaving of skin growth26
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003006NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cur Alta Medical Ny PLLC Foot Surgery CurrentSince May 2, 2025 Accepting new patients
Hudson Valley Foot Associates, LLP CurrentSince Jun 5, 2025 Accepting new patients
Hudson Valley Foot Associates, LLP CurrentSince Jun 5, 2025 Accepting new patients
Cur Alta Medical Ny PLLC Foot Surgery CurrentSince May 2, 2025 Accepting new patients

Locations

3117 Ditmars Blvd
Ste A
Astoria, NY 11105
Phone (718) 274-4040

6357 108th St
Forest Hills, NY 11375
Phone (718) 896-6369

111 Main St
Nanuet, NY 10954
Phone (845) 623-5863

1323 Route 9
Ste 106
Wappingers Fl, NY 12590
Phone (845) 297-4055

8612 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 846-7872

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1366488611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6357 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751607",
            "telephone_number": "718-896-6369",
            "fax_number": "718-896-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6357 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751607",
            "telephone_number": "718-896-6369",
            "fax_number": "718-896-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSET",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440524",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.