Individual provider Active NPI

Robert T. Woltman, DPM

  • Podiatrist
  • New Hyde Park, NY
National Provider Identifier
1386723088
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005361 Issued in NY
Practice address
2035 Lakeville Rd Ste 207
New Hyde Park, NY 11040-1661
Phone
(516) 326-4709
Fax
(516) 326-8968
NPI assigned
Nov 3, 2006
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005361 NY Primary

Addresses

Primary practice location

2035 Lakeville Rd Ste 207
New Hyde Park, NY 11040-1661

Mailing address

2035 Lakeville Rd Ste 207
New Hyde Park, NY 11040-1661
Phone (516) 326-4709

Other identifiers 1

IdentifierTypeStateIssuer
01789871MedicaidNY

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
I20040331001705 NY Practitioner - Podiatry 0648262584 Reassigns benefits to 5 organizations
Practice locations: New Hyde Park, NY; Woodbury, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Care, PCGroup PAC ID 7113093071, 41 clinicians

Practice addresses (Care Compare)

11014 Jamaica Ave
Richmond Hill, NY 11418-2320
Phone (516) 750-8000

137 Willis Ave
Mineola, NY 11501-2677
Phone (516) 750-8000

1575 Hillside Ave
New Hyde Park, NY 11040-2501
Phone (516) 750-8000

450 Lake Success
Lake Success, NY 11042-1110
Phone (718) 734-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue123
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
005360NYMDMental Health Counselor
N005361NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Medical Practice PC CurrentSince Jul 26, 2023 Accepting new patients
Phase Two Podiatry PC Podiatrist CurrentSince Mar 14, 2015 Accepting new patients
Medical Director Services PC CurrentSince Sep 1, 2020 Accepting new patients
North Shore Podiatric Medicine & Surgery, P.C. Podiatrist CurrentSince Oct 1, 2004 Accepting new patients
Dr Robert T Woltman DPM,PC PastSince Aug 1, 2000 Accepting new patients
Lyudmila Cavalier Physician PC Past Accepting new patients

Locations

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

301 Mill Rd
Ste U7
Hewlett, NY 11557

2035 Lakeville Rd
Ste 207
New Hyde Park, NY 11040
Phone (516) 326-4709

410 Lakeville Rd
Ste 303
New Hyde Park, NY 11042
Phone (516) 321-7555

1991 Marcus Ave
Ste M217
North New Hyde Pk, NY 11042
Phone (516) 482-1100

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

378 Syosset Woodbury Rd
Woodbury, NY 11797
Phone (516) 622-7784

Networks

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

Interoperability endpoints

  • Direct secure messaging: robertwoltman@nspms.allscriptsdirect.net

Organizations & group practices 8

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 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1386723088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD STE 207",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401661",
            "telephone_number": "516-326-4709",
            "fax_number": "516-326-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD STE 207",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401661",
            "telephone_number": "516-326-4709",
            "fax_number": "516-326-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTMAN",
        "first_name": "ROBERT",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01789871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.