Individual provider Active NPI

Douglas Livingston, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • North Bellmore, NY
National Provider Identifier
1558363002
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005304-1 Issued in NY
Practice address
1685 Newbridge Rd
North Bellmore, NY 11710-1603
Phone
(516) 826-0103
Fax
(516) 783-6657
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N005304-1 NY Primary

Addresses

Primary practice location

1685 Newbridge Rd
North Bellmore, NY 11710-1603

Mailing address

1685 Newbridge Rd
North Bellmore, NY 11710-1603
Phone (516) 826-0103

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
I20060113000919 NY Practitioner - Podiatry 4789607581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1685 Newbridge Rd
North Bellmore, NY 11710-1603
Phone (516) 826-0103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.2 of 100Reported as group
Quality
95.81
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue78
Removal of skin lesions39
Removal of nail tissue245
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005304-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Footcare Specialists PC Foot & Ankle Surgery CurrentSince Aug 22, 1996 Accepting new patients
Livingston Footcare Specialists PC Foot & Ankle Surgery CurrentSince Aug 22, 1996 Accepting new patients

Locations

10 Medical Plz
Ste 202
Glen Cove, NY 11542
Phone (516) 609-9494

1685 Newbridge Rd
North Bellmore, NY 11710
Phone (516) 820-0103

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: dlivingston@livingstonfootcare.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1558363002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 NEWBRIDGE RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101603",
            "telephone_number": "516-826-0103",
            "fax_number": "516-783-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 NEWBRIDGE RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101603",
            "telephone_number": "516-826-0103",
            "fax_number": "516-783-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005304-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

Verify at the official NPI Registry.