Active NPI
Jeffrey Franklyn Donis, D.P.M
- Podiatrist
- Hartsdale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 002361
- Practice address
- 180 E Hartsdale Ave
Hartsdale, NY 10530-3544 - Phone
- (914) 725-2010
- Fax
- (914) 725-6488
- NPI assigned
- Dec 14, 2005
- Last updated
- Oct 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 002361 | NY | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 002361 | NY |
Addresses
Primary practice location
180 E Hartsdale Ave
Hartsdale, NY 10530-3544
Mailing address
PO Box 28064
New York, NY 10087-8064
Phone (914) 593-7880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00416500 | Medicaid | NY | |
| A400028366 | Other | NY | MEDICARE PTAN |
| A100000178 | Other | NY | PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 W 4TH St
Mount Vernon, NY 10550-4002
Phone 9146997200660
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002361 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon Neighborhood Health Center Inc | Current | Accepting new patients | |
| Mount Vernon Neighborhood Health Center, Inc. | Current | Accepting new patients | |
| Boro Medical, P.C. | Podiatrist | Past | Accepting new patients |
| Cardiology Consultantsof Westchester, PC | Past | Accepting new patients | |
| Boro Medical of New York, Inc. | Podiatrist | Past | Accepting new patients |
| Cardiology Consultants of Westchester, PC | Past | Accepting new patients |
Locations
107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482
- jed9093@direct.nyp.org
Organizations & group practices 6
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.
-
dba Mount Vernon Physician Group
- Specialist
- Mount Vernon, NY
- NPI 1295912541
-
dba Westchester Community Health Center Yonkers
- Federally Qualified Health Center (FQHC)
- Yonkers, NY
- NPI 1952550055
-
- General Practice Physician
- New York, NY
- NPI 1992022339
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1508144130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1659356426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28064",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100878064",
"telephone_number": "914-593-7880",
"fax_number": "914-593-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E HARTSDALE AVE",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105303544",
"telephone_number": "914-725-2010",
"fax_number": "914-725-6488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONIS",
"first_name": "JEFFREY",
"middle_name": "FRANKLYN",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "002361",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "002361",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00416500",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "A400028366",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "A100000178",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.