Active NPI
Robert Michael Conenello, D.P.M.
- Foot Surgery Podiatrist
- Orangeburg, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N004796-1
- Practice address
- 100 Dutch Hill Rd
Suite 270
Orangeburg, NY 10962-2197 - Phone
- (845) 365-3100
- Fax
- (845) 365-3253
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N004796-1 | NY | Primary |
| Foot Surgery Podiatrist | 213ES0131X | MD02083 | NJ |
Addresses
Primary practice location
100 Dutch Hill Rd
Suite 270
Orangeburg, NY 10962-2197
Mailing address
100 Dutch Hill Rd
Suite 270
Orangeburg, NY 10962-2197
Phone (845) 365-3100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01234399 | Medicaid | NY | |
| RS294 | Other | NY | OXFORD |
| 4628693 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Dutch Hill Rd
Orangeburg, NY 10962-4102
Phone (845) 365-3100
Merit-based Incentive Payment System (MIPS)
- Final score
- 8.3 of 100
- Quality
- 15
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 39 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 631 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD02083 | NJ | MD | Foot Surgery Podiatrist |
| N004796-1 | NY | MD | Foot Surgery Podiatrist |
| 004796 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orangetown Podiatry PC | Foot Surgery | Current | Accepting new patients |
| Robert M Conenello | Past | Accepting new patients |
Locations
500 N Franklin Tpke
Ramsey, NJ 07446
Phone (201) 995-9975
450 Western Hwy
Orangeburg, NY 10962
Phone (845) 365-3103
100 Dutch Hill Rd
Ste 270
Orangeburg, NY 10962
Phone (845) 365-3100
Organizations & group practices 2
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.
-
- Podiatrist
- Orangeburg, NY
- NPI 1609058858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299801600000",
"number": "1497828107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DUTCH HILL RD",
"address_2": "SUITE 270",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109622197",
"telephone_number": "845-365-3100",
"fax_number": "845-365-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DUTCH HILL RD",
"address_2": "SUITE 270",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109622197",
"telephone_number": "845-365-3100",
"fax_number": "845-365-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONENELLO",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2011-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N004796-1",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NJ",
"license": "MD02083",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01234399",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "RS294",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4628693",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.