Individual provider Active NPI

Denise G Casinover-Raio, DPM

  • Podiatrist
  • Northport, NY
National Provider Identifier
1639162118
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005219 Issued in NY
Practice address
1032 Fort Salonga Rd
Northport, NY 11768-2208
Phone
(631) 754-3338
Fax
(631) 754-3367
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005219 NY Primary

Addresses

Primary practice location

1032 Fort Salonga Rd
Northport, NY 11768-2208

Mailing address

1032 Fort Salonga Rd
Northport, NY 11768-2208
Phone (631) 754-3338

Other identifiers 1

IdentifierTypeStateIssuer
01573528MedicaidNY

Other names 1

  • Denise Casinover Former name

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
I20080501000231 NY Practitioner - Podiatry 7214016385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1032 Fort Salonga Rd
Northport, NY 11768-2208
Phone (631) 754-3338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as individual
Quality
83.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue53
Removal of skin lesions46
Removal of nail tissue1451
Removal or shaving of skin growth435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005219NYMDPharmacy Technician
N005219NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northport Podiatry PC CurrentSince Nov 25, 1997 Accepting new patients

Locations

1032 Fort Salonga Rd
Northport, NY 11768
Phone (631) 754-3338

Interoperability endpoints

  • Direct secure messaging: denisecraio@northportpodiatry.ssdirect.aprima.com

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 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1639162118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682208",
            "telephone_number": "631-754-3338",
            "fax_number": "631-754-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682208",
            "telephone_number": "631-754-3338",
            "fax_number": "631-754-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASINOVER-RAIO",
        "first_name": "DENISE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01573528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "CASINOVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.