Individual provider Active NPI

Nicola Santarelli, DPM

  • Podiatrist
  • Eastchester, NY
National Provider Identifier
1407923618
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0047951 Issued in NY
Practice address
475 White Plains Rd
Ste 18
Eastchester, NY 10709-5537
Phone
(914) 337-4325
Fax
(914) 395-1860
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0047951 NY Primary

Addresses

Primary practice location

475 White Plains Rd
Ste 18
Eastchester, NY 10709-5537

Mailing address

475 White Plains Rd
Ste 18
Eastchester, NY 10709-5537
Phone (914) 337-4325

Other identifiers 1

IdentifierTypeStateIssuer
01373211MedicaidNY

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
I20110503000367 NY Practitioner - Podiatry 3779768916 Practice locations: Eastchester, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

475 White Plains Rd
Eastchester, NY 10709-5537

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue198
Removal or shaving of skin growth192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0047951NYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1407923618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 WHITE PLAINS RD",
            "address_2": "STE 18",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107095537",
            "telephone_number": "914-337-4325",
            "fax_number": "914-395-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WHITE PLAINS RD",
            "address_2": "STE 18",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107095537",
            "telephone_number": "914-337-4325",
            "fax_number": "914-395-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTARELLI",
        "first_name": "NICOLA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0047951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01373211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastchester, NY

Sources for this page

Verify at the official NPI Registry.