Active NPI
Karen Marie Aglietti, DPM
- Foot Surgery Podiatrist
- Ridgewood, NY
National Provider Identifier
1376541672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N005171
- Practice address
- 6412 Fresh Pond Rd
Ridgewood, NY 11385-3331 - Phone
- (718) 497-3000
- Fax
- (718) 497-3335
- NPI assigned
- Jul 11, 2005
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Podiatrist
- Ridgewood, NY
- NPI 1780895888
-
- Podiatrist
- Flushing, NY
- NPI 1033328844
NPD (past) FOOT SURGERY
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5171 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| N005171 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Queens Podiatry | Foot Surgery | Past | Accepting new patients |
| Middle Village Podiatry, PC | Foot Surgery | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N005171 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6412 Fresh Pond Rd
Ridgewood, NY 11385-3331
Mailing address
6412 Fresh Pond Rd
Ridgewood, NY 11385-3331
Phone (718) 497-3000
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01554136 | Medicaid | NY | |
| 1780895888 | Other | NY | NPI |
| 480026853 | Other | NY | MCRR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2011.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1376541672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6412 FRESH POND RD",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113853331",
"telephone_number": "718-497-3000",
"fax_number": "718-497-3335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6412 FRESH POND RD",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113853331",
"telephone_number": "718-497-3000",
"fax_number": "718-497-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGLIETTI",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N005171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01554136",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1780895888",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCRR",
"identifier": "480026853",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.