Individual provider Active NPI

Aric Mitchell Dinnerman, D.P.M.

  • Podiatrist
  • Melville, NY
National Provider Identifier
1497728190
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004224 Issued in NY
Practice address
26 Catherwood Cres
Suite#106
Melville, NY 11747-1508
Phone
(516) 338-6906
Fax
(631) 427-2332
NPI assigned
Feb 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004224 NY Primary

Addresses

Primary practice location

26 Catherwood Cres
Suite#106
Melville, NY 11747-1508

Mailing address

26 Catherwood Cres
Suite#106
Melville, NY 11747-1508
Phone (516) 338-6906

Other identifiers 1

IdentifierTypeStateIssuer
01066348MedicaidNY

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
I20101213000018 NY Practitioner - Podiatry 9739376054 Practice locations: Melville, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004224NYMDPodiatrist
004224NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Cares Medical, PC PastSince Aug 1, 2015 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": "1139702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497728190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CATHERWOOD CRES",
            "address_2": "SUITE#106",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471508",
            "telephone_number": "516-338-6906",
            "fax_number": "631-427-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CATHERWOOD CRES",
            "address_2": "SUITE#106",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471508",
            "telephone_number": "516-338-6906",
            "fax_number": "631-427-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINNERMAN",
        "first_name": "ARIC",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01066348",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.