Active NPI
Keith Bortniker, D.P.M.
- Foot Surgery Podiatrist
- West Nyack, NY
National Provider Identifier
1508116823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- NY-N006715-1
- Practice address
- 2 Crosfield Ave Ste 302
West Nyack, NY 10994-2218 - Phone
- (845) 358-2844
- Fax
- (845) 358-0528
- NPI assigned
- Sep 13, 2012
- Last updated
- Aug 17, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot Surgery Podiatrist | 213ES0131X | NY-N006715-1 | NY | Primary |
Addresses
Primary practice location
2 Crosfield Ave Ste 302
West Nyack, NY 10994-2218
Mailing address
59 S Constitution Dr
Tappan, NY 10983-1622
Other practice location 1
600 E 233rd St
Bronx, NY 10466-2604
Phone (718) 920-9000
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Crosfield Ave
Suite 302
West Nyack, NY 10994-2220
Phone (845) 358-2844
500 N Franklin Tpke
Ramsey, NJ 07446-1177
Phone (845) 358-2844
Hospital & facility affiliations
- St John's Riverside Hospital
- Good Samaritan Hospital of Suffern
- Nyack Hospital
- Garnet Health Medical Center
- St Anthony Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.93 of 100
- Quality
- 37.17
- Promoting interoperability
- 92
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 311 |
| Removal of skin lesions | 90 |
| Removal of nail tissue | 541 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY-N006715-1 | NY | MD | Foot Surgery Podiatrist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1508116823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 S CONSTITUTION DR",
"city": "TAPPAN",
"state": "NY",
"postal_code": "109831622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CROSFIELD AVE STE 302",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942218",
"telephone_number": "845-358-2844",
"fax_number": "845-358-0528"
}
],
"practiceLocations": [
{
"address_1": "600 E 233rd St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104662604",
"country_code": "US",
"telephone_number": "718-920-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORTNIKER",
"first_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "NY-N006715-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.