Individual provider Active NPI

Ronald Replogle, D.P.M.

  • Foot Surgery Podiatrist
  • West Babylon, NY
National Provider Identifier
1578568705
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004179 Issued in NY
Practice address
578 Sunrise Hwy
West Babylon, NY 11704-6003
Phone
(631) 893-7030
Fax
(631) 893-7066
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N004179 NY Primary

Addresses

Primary practice location

578 Sunrise Hwy
West Babylon, NY 11704-6003

Mailing address

578 Sunrise Hwy
West Babylon, NY 11704-6003
Phone (631) 893-7030

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
I20120418000030 NY Practitioner - Podiatry 3375751340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R Replogle and F Dittmar PTRGroup PAC ID 6901798115, 2 clinicians

Practice addresses (Care Compare)

1025 Portion Rd
Suite 3
Farmingville, NY 11738-2291
Phone (631) 696-1856

578 Sunrise Hwy
West Babylon, NY 11704

578 Sunrise Hwy
West Babylon, NY 11704-6003
Phone (631) 893-7030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue405
Removal or shaving of skin growth86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004179NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
R Replogle and F Dittmar PTR Foot Surgery CurrentSince Mar 24, 1988 Accepting new patients

Locations

1025 Portion Rd
Ste E
Farmingville, NY 11738
Phone (631) 696-6666

578 Sunrise Hwy
West Babylon, NY 11704
Phone (631) 696-1856

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578568705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046003",
            "telephone_number": "631-893-7030",
            "fax_number": "631-893-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046003",
            "telephone_number": "631-893-7030",
            "fax_number": "631-893-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPLOGLE",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.