Individual provider Active NPI

Marisa Aranyavickul, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Yonkers, NY
National Provider Identifier
1659725604
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007025 Issued in NY
Practice address
970 N Broadway
Ste 206
Yonkers, NY 10701-1310
Phone
(646) 639-5291
Fax
(914) 664-2873
NPI assigned
Apr 15, 2016
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 007025 NY Primary

Addresses

Primary practice location

970 N Broadway
Ste 206
Yonkers, NY 10701-1310

Mailing address

3950 60TH St Apt A35
Woodside, NY 11377-3421
Phone (646) 639-5291

Other practice location 1

7 Christopher St
New York, NY 10014-3518

Other practice location 2

315 W 57th St Ste 407
New York, NY 10019-3147
Phone (212) 706-0790

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
I20200327001978 NY Practitioner - Podiatry 2961831862 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montefiore Mount Vernon HospitalGroup PAC ID 7810122231, 18 clinicians

Practice addresses (Care Compare)

12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 664-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007025NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Mount Vernon Hospital CurrentSince Feb 18, 2020 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jan 1, 2022 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Essen Medical Associates,PC CurrentSince Jan 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 1, 2022 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

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

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

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

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

Networks

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

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1659725604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 60TH ST APT A35",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773421",
            "telephone_number": "646-639-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY",
            "address_2": "STE 206",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011310",
            "telephone_number": "646-639-5291",
            "fax_number": "914-664-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Christopher St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100143518",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W 57th St Ste 407",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193147",
            "country_code": "US",
            "telephone_number": "212-706-0790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARANYAVICKUL",
        "first_name": "MARISA",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.