Active NPI
Maurice A Palucci, DPM
- Foot Surgery Podiatrist
- Webster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N005185-1
- Practice address
- 45 North Ave
Webster, NY 14580-3054 - Phone
- (585) 872-6520
- Fax
- (585) 872-6357
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NOO5185 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | N005185-1 | NY | Primary |
Addresses
Primary practice location
45 North Ave
Webster, NY 14580-3054
Mailing address
45 North Ave
Webster, NY 14580-3054
Phone (585) 872-6520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016227335 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 White Spruce Blvd
Rochester, NY 14623-1605
Phone (585) 424-6800
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 149 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 180 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005185 | NY | MD | Acupuncturist |
| NOO5185 | NY | MD | Podiatrist |
| N005185-1 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Podiatry Group | Foot Surgery | Current | Accepting new patients |
Locations
200 White Spruce Blvd
Ste 134
Rochester, NY 14623
Phone (585) 427-0270
200 White Spruce Blvd
Rochester, NY 14623
Phone (585) 292-0040
2800 Spencerport Rd
Ste A6
Spencerport, NY 14559
Phone (585) 872-6520
45 North Ave
Rear
Webster, NY 14580
Phone (585) 872-1729
45 North Ave
Webster, NY 14580
Phone (585) 872-6520
Interoperability endpoints
- podiatry@monroe.medicalservices.net
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Webster, NY
- NPI 1023189842
Foot Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1477511558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 NORTH AVE",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145803054",
"telephone_number": "585-872-6520",
"fax_number": "585-872-6357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 NORTH AVE",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145803054",
"telephone_number": "585-872-6520",
"fax_number": "585-872-6357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALUCCI",
"first_name": "MAURICE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "NOO5185",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N005185-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016227335",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.