Individual provider Active NPI

Nelson Negron, DPM

  • Foot Surgery Podiatrist
  • Poughkeepsie, NY
National Provider Identifier
1447838933
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N007376 Issued in NY
Practice address
5 Eastdale Ave S
Poughkeepsie, NY 12603-1955
Phone
(845) 471-2243
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N007376 NY Primary

Addresses

Primary practice location

5 Eastdale Ave S
Poughkeepsie, NY 12603-1955

Mailing address

5 Eastdale Ave S
Poughkeepsie, NY 12603-1955
Phone (845) 471-2243

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
I20240326002607 NY Practitioner - Podiatry 6103263173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis J. Sims, DPM P.C.Group PAC ID 6406754688, 7 clinicians

Practice addresses (Care Compare)

5 Eastdale Ave S
Poughkeepsie, NY 12603-1955

969 Main St
Suite B
Fishkill, NY 12524-1791
Phone (845) 897-2735

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue329
Removal of skin lesions11
Removal of nail tissue65
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007376NYMDMental Health Counselor
N007376NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis J Sims DPM P.C. Single Specialty CurrentSince Apr 15, 2024 Accepting new patients
Lewis J Sims DPM P.C. CurrentSince Dec 1, 2024 Accepting new patients

Locations

969 Main St
Ste B
Fishkill, NY 12524
Phone (845) 897-2735

60 Park Ln
Highland, NY 12528
Phone (845) 471-2243

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.

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1447838933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EASTDALE AVE S",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031955",
            "telephone_number": "845-471-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EASTDALE AVE S",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031955",
            "telephone_number": "845-471-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "NELSON",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N007376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.