Individual provider Active NPI

Anthony Dimarino, D.P.M.

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1588725709
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003546 Issued in NY
Practice address
29 Island PT
Bronx, NY 10464-1477
Phone
(914) 837-8434
NPI assigned
Dec 12, 2006
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003546 NY Primary

Addresses

Primary practice location

29 Island PT
Bronx, NY 10464-1477

Mailing address

29 Island PT
Bronx, NY 10464-1477
Phone (914) 837-8402

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
I20070226000727 NY Practitioner - Podiatry 1951403682 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003546NYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1588725709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ISLAND PT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641477",
            "telephone_number": "914-837-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ISLAND PT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641477",
            "telephone_number": "914-837-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARINO",
        "first_name": "ANTHONY",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.