Individual provider Active NPI

Casey Ann Pidich, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1619293826
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006354 Issued in NY
Practice address
45 W 34TH St
RM 903
New York, NY 10001-3100
Phone
(570) 357-9659
Fax
(718) 548-1103
NPI assigned
Apr 13, 2010
Last updated
May 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006354 NY Primary

Addresses

Primary practice location

45 W 34TH St
RM 903
New York, NY 10001-3100

Mailing address

115 Chambers St
New York, NY 10007-1001
Phone (212) 766-4455

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
I20110111000446 NY Practitioner - Podiatry 2961691613 Reassigns benefits to 4 organizations
Practice locations: Astoria, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shakespeare Operating LLCGroup PAC ID 0840604310, 144 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633

2505 Grand Ave
Bronx, NY 10468-4206
Phone (718) 295-1400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions1-10
Removal of nail tissue376
Removal or shaving of skin growth54
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006354NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Aug 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 1, 2022 Accepting new patients
Shakespeare Operating LLC CurrentSince Jan 1, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 1, 2022 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Hear & See Right Inc Past Accepting new patients
Pidich Podiatry PC Past Accepting new patients
Big Apple Foot and Ankle Care Podiatric Care P.C Foot & Ankle Surgery Past Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1619293826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHAMBERS ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071001",
            "telephone_number": "212-766-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 34TH ST",
            "address_2": "RM 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013100",
            "telephone_number": "570-357-9659",
            "fax_number": "718-548-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDICH",
        "first_name": "CASEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.