Organization Active NPI

Robert M Conenello

Doing business as Orangetown Podiatry

  • Podiatrist
  • Orangeburg, NY
National Provider Identifier
1609058858
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004796-1 Issued in NY
Legal business name
ROBERT M CONENELLO
Doing business as
Orangetown Podiatry
Practice address
450 Western Hwy
Orangeburg, NY 10962-2187
Phone
(845) 365-3103
Fax
(845) 365-3253
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Robert Michael Conenello, D.P.M.NPI 1497828107
Title
Owner
Phone
(845) 365-3103

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 SINGLE SPECIALTY GROUP 213E00000X N004796-1 NY Primary

Addresses

Primary practice location

450 Western Hwy
Orangeburg, NY 10962-2187

Mailing address

450 Western Hwy
Orangeburg, NY 10962-2187
Phone (845) 365-3103

Other names 1

  • Orangetown Podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

450 Western Hwy
Orangeburg, NY 10962
Phone (845) 365-3103

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1609058858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WESTERN HWY",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622187",
            "telephone_number": "845-365-3103",
            "fax_number": "845-365-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WESTERN HWY",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622187",
            "telephone_number": "845-365-3103",
            "fax_number": "845-365-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M CONENELLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "CONENELLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-365-3103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004796-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orangetown Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.