Individual provider Active NPI

Frank S Segreto, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Ronkonkoma, NY
National Provider Identifier
1669489555
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
152621 Issued in NY
Practice address
3385 Veterans Memorial Hwy
Suite I
Ronkonkoma, NY 11779-7660
Phone
(631) 737-6767
Fax
(631) 737-5068
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 152621 NY Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME63323 FL

Addresses

Primary practice location

3385 Veterans Memorial Hwy
Suite I
Ronkonkoma, NY 11779-7660

Mailing address

3385 Veterans Memorial Hwy
Suite I
Ronkonkoma, NY 11779-7660
Phone (631) 737-6767

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000546 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2961460498 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
State University of New York Downstate Medical Center, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Well Primary Health Care Center LLCGroup PAC ID 2062305030, 44 clinicians
Ahava Medical and Rehabilitation Center, LLCGroup PAC ID 1557416997, 150 clinicians

Practice addresses (Care Compare)

1577 Fulton St
Brooklyn, NY 11213-1125
Phone (347) 915-1411

16 Sumner PL
Brooklyn, NY 11206-4110
Phone 71895188002102

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

3385 Veterans Memorial Hwy
Suite I
Ronkonkoma, NY 11779-7660

3385 Veterans Memorial Hwy I
Ronkonkoma, NY 11779-7660
Phone (631) 737-6767

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME63323FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince Mar 10, 2019 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Apr 19, 2021 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Apr 19, 2021 Accepting new patients
Frank S Segreto MD PC CurrentSince Aug 15, 1995 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Aug 18, 2021 Accepting new patients

Locations

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332

3385 Veterans Memorial Hwy
Ste I
Ronkonkoma, NY 11779
Phone (631) 665-4560

Networks

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1669489555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 VETERANS MEMORIAL HWY",
            "address_2": "SUITE I",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797660",
            "telephone_number": "631-737-6767",
            "fax_number": "631-737-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 VETERANS MEMORIAL HWY",
            "address_2": "SUITE I",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797660",
            "telephone_number": "631-737-6767",
            "fax_number": "631-737-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGRETO",
        "first_name": "FRANK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "152621",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME63323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.