Organization Active NPI

Michael Scotto DPM PLLC

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1598080731
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005621-1 Issued in NY
Legal business name
MICHAEL SCOTTO DPM PLLC
Practice address
372 Manor Rd
Staten Island, NY 10314-2958
Phone
(718) 816-8634
Fax
(718) 816-8664
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Dr. Michael Scotto, DPMNPI 1184733958
Title
Physician Owner
Phone
(718) 816-8634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X N005621-1 NY Primary

Addresses

Primary practice location

372 Manor Rd
Staten Island, NY 10314-2958

Mailing address

372 Manor Rd
Staten Island, NY 10314-2958
Phone (718) 816-8634

Other identifiers 1

IdentifierTypeStateIssuer
02000333MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100331000438 NY Part B Supplier - Clinic/Group Practice 1557497328 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY
O20100930031663 NY DME Supplier - Physician - Podiatry 1557497328 1 other NPI on this enrollment
Practice locations: Staten Island, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1598080731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142958",
            "telephone_number": "718-816-8634",
            "fax_number": "718-816-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142958",
            "telephone_number": "718-816-8634",
            "fax_number": "718-816-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SCOTTO DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "SCOTTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "718-816-8634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005621-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02000333",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.