Individual provider Active NPI

Christine M Peterson Emmons, DPM

  • Podiatrist
  • Commack, NY
National Provider Identifier
1699765362
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N05710 Issued in NY
Practice address
19 Harned Road
Commack, NY 11725
Phone
(631) 864-3338
Fax
(631) 864-8166
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N05710 NY Primary

Addresses

Primary practice location

19 Harned Road
Commack, NY 11725

Mailing address

19 Harned Road
Commack, NY 11725
Phone (631) 864-3338

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
I20100713000381 NY Practitioner - Podiatry 5092847939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfair Foot Care PLLCGroup PAC ID 9133250905, 3 clinicians

Practice addresses (Care Compare)

19 Harned Rd
Commack, NY 11725-3513
Phone (631) 864-3338

Merit-based Incentive Payment System (MIPS)

Final score
82.51 of 100Reported as group
Quality
51.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions1-10
Removal of nail tissue1632
Removal or shaving of skin growth1392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N05710NYMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfair Foot Care PLLC Podiatrist CurrentSince Feb 14, 2010 Accepting new patients
Saccomanno Podiatry PLLC Podiatrist CurrentSince Aug 4, 2024 Accepting new patients
George D Emmons DPM PC Podiatrist PastSince Jan 29, 2013 Accepting new patients

Locations

54 Mayfair Shopping Ctr
Commack, NY 11725
Phone (631) 791-4386

19 Harned Rd
Commack, NY 11725
Phone (631) 864-3338

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1699765362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HARNED ROAD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-864-3338",
            "fax_number": "631-864-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HARNED ROAD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-864-3338",
            "fax_number": "631-864-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON EMMONS",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N05710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.