Individual provider Active NPI

Vincenza Mineo, D.P.M.

  • Single Specialty Group
  • Staten Island, NY
National Provider Identifier
1487947537
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Single Specialty GroupTaxonomy code 193400000X
License
006495 Issued in NY
Practice address
1368 Clove Rd
Staten Island, NY 10301-4303
Phone
(718) 816-0237
Fax
(718) 816-5465
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00307800 NJ
Single Specialty Group 193400000X 006495 NY Primary

Addresses

Primary practice location

1368 Clove Rd
Staten Island, NY 10301-4303

Mailing address

1368 Clove Rd
Staten Island, NY 10301-4303
Phone (718) 816-0237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20111019000792 NJ Practitioner - Podiatry 2062684863 Reassigns benefits to 1 organization
I20170420000640 NY Practitioner - Podiatry 2062684863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1368 Clove Rd
Staten Island, NY 10301-4303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of nail tissue183
Removal or shaving of skin growth65
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00307800NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
A Friendly Face Akademy Corp. Single Specialty CurrentSince May 4, 2024 Accepting new patients
Advanced Performance and Rehabilitation Center, LLC Single Specialty CurrentSince Sep 22, 2011 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1487947537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014303",
            "telephone_number": "718-816-0237",
            "fax_number": "718-816-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014303",
            "telephone_number": "718-816-0237",
            "fax_number": "718-816-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEO",
        "first_name": "VINCENZA",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00307800",
            "primary": false
        },
        {
            "code": "193400000X",
            "taxonomy_group": "",
            "desc": "Single Specialty",
            "state": "NY",
            "license": "006495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.