Individual provider Active NPI

David Bartol, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1689628737
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
005788 Issued in NY
Practice address
1408 Ocean Ave
3Rd Floor
Brooklyn, NY 11230-3803
Phone
(718) 338-0909
Fax
(718) 258-4713
NPI assigned
May 22, 2006
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 005788 NY Primary

Addresses

Primary practice location

1408 Ocean Ave
3Rd Floor
Brooklyn, NY 11230-3803

Mailing address

3 Janes LN
Lloyd Harbor, NY 11743-1715
Phone (914) 649-4700

Other identifiers 2

IdentifierTypeStateIssuer
PH4242OtherNYBLUE CROSS
02264377MedicaidNY

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
I20040719000725 NY Practitioner - Podiatry 2961481320 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians

Practice addresses (Care Compare)

1010 Underhill Ave
Bronx, NY 10472-6012
Phone (718) 519-4125

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions68
Removal of nail tissue2811
Removal or shaving of skin growth2543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005788NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Medical PC CurrentSince Jul 1, 2004 Accepting new patients
Podiatry Company LLC Podiatrist CurrentSince May 8, 2025 Accepting new patients
University Foot and Ankle PC CurrentSince Sep 1, 2011 Accepting new patients
Phase Two Podiatry PC Podiatrist CurrentSince Jan 29, 2016 Accepting new patients
Medical Director Services PC CurrentSince Jun 29, 2018 Accepting new patients

Locations

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

1010 Underhill Ave
Bronx, NY 10472
Phone (718) 863-6700

2175 Quarry Rd
Bronx, NY 10457
Phone (718) 960-3900

1408 Ocean Ave
Fl 3
Brooklyn, NY 11230
Phone (718) 252-0101

2615 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (347) 415-7347

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

10124 Queens Blvd
Ste A
Forest Hills, NY 11375
Phone (718) 261-8881

301 Mill Rd
Ste U7
Hewlett, NY 11557

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1689628737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JANES LN",
            "city": "LLOYD HARBOR",
            "state": "NY",
            "postal_code": "117431715",
            "telephone_number": "914-649-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 OCEAN AVE",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303803",
            "telephone_number": "718-338-0909",
            "fax_number": "718-258-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PH4242",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02264377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.