Organization Active NPI

Step by Step Podiatry PLLC

  • Podiatrist
  • Smithtown, NY
National Provider Identifier
1689408429
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
STEP BY STEP PODIATRY PLLC
Practice address
260 E Middle Country Rd Ste 104
Smithtown, NY 11787-2923
Phone
(631) 724-1166
Fax
(631) 724-4130
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Dr. Lisa M Larocca Hulsen, DPMNPI 1740373802
Title
Owner/ Managing Partner
Phone
(631) 724-1166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

260 E Middle Country Rd Ste 104
Smithtown, NY 11787-2923

Mailing address

260 E Middle Country Rd Ste 104
Smithtown, NY 11787-2923
Phone (631) 724-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241018003364 NY Part B Supplier - Clinic/Group Practice 8628500311 Receives reassigned benefits from 2 practitioners
Practice locations: Smithtown, NY
O20250327001067 NY DME Supplier - Physician - Podiatry 8628500311 Practice locations: Smithtown, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1689408429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E MIDDLE COUNTRY RD STE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872923",
            "telephone_number": "631-724-1166",
            "fax_number": "631-724-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E MIDDLE COUNTRY RD STE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872923",
            "telephone_number": "631-724-1166",
            "fax_number": "631-724-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP BY STEP PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "LAROCCA HULSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ MANAGING PARTNER",
        "authorized_official_telephone_number": "631-724-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.