Long Island Podiatry Group, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003712 Issued in NY

Legal business name

LONG ISLAND PODIATRY GROUP, P.C.

Practice address

375 N Central Ave
Valley Stream, NY 11580-1134

Phone

(516) 825-4070

Fax

(516) 825-1508

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Russell Caprioli, DPMNPI 1679507792

Title

Owner

Phone

(516) 568-2319

Specialties & licenses 1

Addresses

Other names 1

• Central Podiatry Assoc Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Caprioli, DPM

  • Podiatrist
  • Valley Stream, NY
  • NPI 1679507792
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Ann Bilotti, DPM

  • Podiatrist
  • Valley Stream, NY
  • NPI 1194758839
  Medicare reassignment Care Compare group NPD
• John Haight, DPM

  • Podiatrist
  • Valley Stream, NY
  • NPI 1023043049
  Medicare reassignment Care Compare group NPD
• Marzena Mleczko, DPM

  • Podiatrist
  • Valley Stream, NY
  • NPI 1770516437
  Medicare reassignment Care Compare group NPD
• Anthony D. Cozzolino Jr., DPM

  • Podiatrist
  • Columbus, OH
  • NPI 1336215623
  NPD (past)
• Hugh L. Richardson, DPM

  • Podiatrist
  • Atlanta, GA
  • NPI 1881627545
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1437255353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801134",
            "telephone_number": "516-825-4070",
            "fax_number": "516-568-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801134",
            "telephone_number": "516-825-4070",
            "fax_number": "516-825-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PODIATRY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "CAPRIOLI",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-568-2319",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Podiatry Assoc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maria Lombardo, LMSW
• Long Island Jewish Medical Center
• Long Island Jewish Medical Center
• Long Island Jewish Medical Center
• Long Island Medical Oncology & Hematology Assoc. P.C.
• Long Island Queens Hearing Asso Inc
• Sakinah T Long, MSW
• Marjorie Longid, PHYSICAL THERAPIST
• Wendy Tonia Longo, DO
• Desiree Lopez, P.T.

• Podiatrist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.