Individual provider Active NPI

Alan Weisman, DPM

  • Foot Surgery Podiatrist
  • East Northport, NY
National Provider Identifier
1508820622
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005894 Issued in NY
Practice address
554 Larkfield Rd Ste 10C
East Northport, NY 11731-4205
Phone
(631) 368-3668
Fax
(631) 368-3669
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC005725L PA
Foot Surgery Podiatrist 213ES0131X N005894 NY Primary

Addresses

Primary practice location

554 Larkfield Rd Ste 10C
East Northport, NY 11731-4205

Mailing address

554 Larkfield Rd Ste 10C
East Northport, NY 11731-4205
Phone (631) 368-3668

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
I20090609000182 NY Practitioner - PodiatryPractitioner - Other (Physician) 9133143860 Reassigns benefits to 3 organizations
Practice locations: East Northport, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

554 Larkfield Rd
Suite 10C
East Northport, NY 11731-4205
Phone (631) 368-3668

Merit-based Incentive Payment System (MIPS)

Final score
95.12 of 100Reported as individual
Quality
90.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue78
Removal of nail tissue1352
Removal or shaving of skin growth798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
SC005725LPAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Weisman DPM PLLC Foot & Ankle Surgery CurrentSince Aug 31, 2009 Accepting new patients
Advanced Podiatry of Manhasset, PLLC Foot & Ankle Surgery CurrentSince Feb 14, 2010 Accepting new patients
Advanced Podiatry of Huntington PLLC Foot & Ankle Surgery CurrentSince Dec 9, 2009 Accepting new patients

Locations

554 Larkfield Rd
Ste 10C
East Northport, NY 11731
Phone (631) 266-1256

181 Main St
Huntington, NY 11743
Phone (631) 335-3584

2110 Northern Blvd
Ste 208
Manhasset, NY 11030
Phone (516) 627-5113

20 Crossways Park Dr N
Ste 304
Woodbury, NY 11797
Phone (516) 681-8866

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1508820622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 LARKFIELD RD STE 10C",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314205",
            "telephone_number": "631-368-3668",
            "fax_number": "631-368-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 LARKFIELD RD STE 10C",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314205",
            "telephone_number": "631-368-3668",
            "fax_number": "631-368-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "SC005725L",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

Verify at the official NPI Registry.