Individual provider Active NPI

Edward A Buro, DPM

  • Podiatrist
  • Commack, NY
National Provider Identifier
1578566402
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003897 Issued in NY
Practice address
19 Harned Road
Commack, NY 11725
Phone
(631) 864-3338
Fax
(631) 864-8166
NPI assigned
May 24, 2005
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003897 NY Primary

Addresses

Primary practice location

19 Harned Road
Commack, NY 11725

Mailing address

19 Harned Road
Commack, NY 11725
Phone (631) 864-3338

Other identifiers 1

IdentifierTypeStateIssuer
00919562MedicaidNY

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
I20040622000353 NY Practitioner - Podiatry 3375528524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfair Foot Care PLLCGroup PAC ID 9133250905, 3 clinicians

Practice addresses (Care Compare)

19 Harned Rd
Commack, NY 11725-3513
Phone (631) 864-3338

Merit-based Incentive Payment System (MIPS)

Final score
82.51 of 100Reported as group
Quality
51.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue189
Removal of skin lesions14
Removal of nail tissue1956
Removal or shaving of skin growth1865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003897NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfair Foot Care PLLC Podiatrist CurrentSince Jan 24, 2000 Accepting new patients
Saccomanno Podiatry PLLC Podiatrist CurrentSince Aug 4, 2024 Accepting new patients
Astoria Advanced Footcare Past Accepting new patients

Locations

19 Harned Rd
Commack, NY 11725
Phone (631) 864-3338

54 Mayfair Shopping Ctr
Commack, NY 11725
Phone (631) 791-4386

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1578566402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HARNED ROAD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-864-3338",
            "fax_number": "631-864-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HARNED ROAD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-864-3338",
            "fax_number": "631-864-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURO",
        "first_name": "EDWARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00919562",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.