Susan Amico, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003694 Issued in NY

Practice address

62 Seguine Ave Ste 2
Staten Island, NY 10309-3723

Phone

(718) 317-7740

Fax

(718) 948-1090

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samico322112@northwell.direct-ci.com

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.

• Jay M Purvin, D.P.M.

  • Podiatrist
  • East Meadow, NY
  • NPI 1053310920

  NJ

  Medicare reassignment
• Huguenot Podiatry Group PC

  • Podiatrist
  • Staten Island, NY
  • NPI 1689929374
  NPD
• Jay M Purvin, DPM

  • Podiatrist
  • East Meadow, NY
  • NPI 1053483164
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644710400000",
    "number": "1457367724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SEGUINE AVE STE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093723",
            "telephone_number": "718-317-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 SEGUINE AVE STE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093723",
            "telephone_number": "718-317-7740",
            "fax_number": "718-948-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9731 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112098135",
            "country_code": "US",
            "telephone_number": "718-836-1800",
            "fax_number": "718-836-7531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMICO",
        "first_name": "SUSAN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003694",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00903599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amerimed Eip
• Amethyst House , Inc.
• Lenmara Ametova, RN
• Mamita S Amevuvor, LPN
• Kaitlin Amico
• Upendra K Amin
• Vidhi Amin
• Zakaria Amin, PHARM.D
• Amna Noor Amjad
• Fatima Amjad, PHARMD

• Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.