Individual provider Active NPI

Arthur J Merola, DPM

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1487737599
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NOO4960-1 Issued in NY
Practice address
11 Ralph PL Ste 314
Staten Island, NY 10304-4420
Phone
(718) 448-8040
Fax
(718) 448-8041
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NOO4960-1 NY Primary
Primary Podiatric Medicine Podiatrist 213EP1101X NOO4960-1 NY

Addresses

Primary practice location

11 Ralph PL Ste 314
Staten Island, NY 10304-4420

Mailing address

139 Garfield Ave
Staten Island, NY 10305-3710
Phone (800) 741-5273

Other identifiers 1

IdentifierTypeStateIssuer
01648186MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NOO4960-1NYMDPrimary Podiatric Medicine Podiatrist
004960NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a. Aanonsen DO PLLC PastSince Jun 1, 2006 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1487737599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 GARFIELD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053710",
            "telephone_number": "800-741-5273",
            "fax_number": "718-448-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 314",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044420",
            "telephone_number": "718-448-8040",
            "fax_number": "718-448-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEROLA",
        "first_name": "ARTHUR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NOO4960-1",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "NOO4960-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01648186",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.