Individual provider Active NPI

Robert Michael Conenello, D.P.M.

  • Foot Surgery Podiatrist
  • Orangeburg, NY
National Provider Identifier
1497828107
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004796-1 Issued in NY
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

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01234399MedicaidNY
RS294OtherNYOXFORD
4628693OtherNYAETNA

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
I20051027000072 NJ Practitioner - Podiatry 1850317561 Reassigns benefits to 1 organization
I20100326000807 NY Practitioner - Podiatry 1850317561 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue631
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD02083NJMDFoot Surgery Podiatrist
N004796-1NYMDFoot Surgery Podiatrist
004796NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orangetown Podiatry PC Foot Surgery CurrentSince Sep 1, 2009 Accepting new patients
Robert M Conenello PastSince Jan 1, 1990 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.

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

Verify at the official NPI Registry.