Individual provider Active NPI

Dino Ditrolio, DPM

  • Foot & Ankle Surgery Podiatrist
  • Westwood, NJ
National Provider Identifier
1376634584
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD001931 Issued in NJ
Practice address
64 Fairview Ave
Westwood, NJ 07675-2241
Phone
(201) 664-0225
Fax
(201) 664-0561
NPI assigned
Sep 27, 2006
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N004493 NY
Foot Surgery Podiatrist 213ES0131X N004493 NY
Foot & Ankle Surgery Podiatrist 213ES0103X MD001931 NJ Primary

Addresses

Primary practice location

64 Fairview Ave
Westwood, NJ 07675-2241

Mailing address

1225 150TH St
Whitestone, NY 11357-1747
Phone (718) 767-0202

Other identifiers 2

IdentifierTypeStateIssuer
01131442MedicaidNY
5581109MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101019001141 NJ Practitioner - Podiatry 8527181650 Reassigns benefits to 1 organization
Practice locations: Westwood, NJ
I20111129000005 NY Practitioner - Podiatry 8527181650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitestone Podiatry PCGroup PAC ID 8628276102, 2 clinicians
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

1225 150TH St
Whitestone, NY 11357-1747
Phone (718) 767-0202

400 Old Hook Rd
Suite 1 4
Westwood, NJ 07675-2720
Phone (201) 664-0225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue266
Removal of skin lesions1-10
Removal of nail tissue1195
Removal or shaving of skin growth269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD001931NJMDFoot & Ankle Surgery Podiatrist
N004493NYMDFoot Surgery Podiatrist
004493NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Foot and Ankle Single Specialty CurrentSince Jan 1, 2018 Accepting new patients
Curalta Medical LLC Foot & Ankle Surgery CurrentSince Dec 1, 2021 Accepting new patients
Proactive Foot and Ankle CurrentSince Jun 22, 2017 Accepting new patients
Whitestone Podiatry PC Single Specialty CurrentSince Feb 1, 1990 Accepting new patients
Curalta Medical LLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Union Square Medical Imaging and Mammography PC Single Specialty Past Accepting new patients

Locations

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

400 Old Hook Rd
Ste 1
Westwood, NJ 07675
Phone (201) 358-9365

400 Old Hook Rd
Ste 1-4
Westwood, NJ 07675
Phone (201) 664-0225

64 Fairview Ave
Westwood, NJ 07675
Phone (201) 664-0225

1225 150th St
Whitestone, NY 11357
Phone (718) 767-0202

Interoperability endpoints

  • Direct secure messaging: dditrolio189609@ahs.direct-ci.com
  • Direct secure messaging: drditrolio@pfaaddd-nj.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1376634584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 150TH ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571747",
            "telephone_number": "718-767-0202",
            "fax_number": "718-767-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 FAIRVIEW AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752241",
            "telephone_number": "201-664-0225",
            "fax_number": "201-664-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITROLIO",
        "first_name": "DINO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004493",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004493",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD001931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01131442",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5581109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.