Individual provider Active NPI

Karen Marie Aglietti, DPM

  • Foot Surgery Podiatrist
  • Ridgewood, NY
National Provider Identifier
1376541672
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005171 Issued in NY
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.

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

LicenseStateTypeSpecialty
5171NYMDAddiction (Substance Use Disorder) Counselor
N005171NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005171 NY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
01554136MedicaidNY
1780895888OtherNYNPI
480026853OtherNYMCRR

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.

Verify at the official NPI Registry.