Individual provider Active NPI

Joseph Michael Zehentner, DPM

  • Podiatrist
  • East Patchogue, NY
National Provider Identifier
1588227524
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007187 Issued in NY
Practice address
285 Sills Rd BLDG 17
East Patchogue, NY 11772-4808
Phone
(631) 654-5566
Fax
(631) 654-8250
NPI assigned
Apr 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 007187 NY Primary

Addresses

Primary practice location

285 Sills Rd BLDG 17
East Patchogue, NY 11772-4808

Mailing address

285 Sills Rd BLDG 17
East Patchogue, NY 11772-4808
Phone (631) 654-5566

Other practice location 1

283 Commack Rd Ste 125
Commack, NY 11725-3447
Phone (631) 499-3505

Other practice location 2

976 Roanoke Ave
Riverhead, NY 11901-2731
Phone (631) 381-0201

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
I20220629000148 NY Practitioner - Podiatry 2062749641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Patchogue Podiatry PCGroup PAC ID 2668502527, 4 clinicians

Practice addresses (Care Compare)

283 Commack Rd
Suite 125
Commack, NY 11725-3447
Phone (631) 499-3505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of skin lesions27
Removal of nail tissue1113
Removal or shaving of skin growth382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007187NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
East Patchogue Podiatry P.C. Podiatrist CurrentSince Jul 1, 2022 Accepting new patients

Locations

283 Commack Rd
Ste 125
Commack, NY 11725
Phone (631) 335-3412

285 Sills Rd
Bldg 17
East Patchogue, NY 11772
Phone (631) 654-5566

976 Roanoke Ave
Riverhead, NY 11901
Phone (631) 381-0201

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.

Hospital & facility affiliations 2

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1588227524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD BLDG 17",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724808",
            "telephone_number": "631-654-5566",
            "fax_number": "631-654-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD BLDG 17",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724808",
            "telephone_number": "631-654-5566",
            "fax_number": "631-654-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 Commack Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253447",
            "country_code": "US",
            "telephone_number": "631-499-3505",
            "fax_number": "631-499-5421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "976 Roanoke Ave",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012731",
            "country_code": "US",
            "telephone_number": "631-381-0201",
            "fax_number": "631-381-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEHENTNER",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.