Individual provider Active NPI

David P Luongo, DPM

  • Podiatrist
  • Closter, NJ
National Provider Identifier
1700872397
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD002517 Issued in NJ
Practice address
10 McKinley St Ste 15
Closter, NJ 07624-2726
Phone
(201) 784-1900
Fax
(201) 784-8785
NPI assigned
Sep 20, 2005
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD002517 NJ Primary
Podiatrist 213E00000X N005487-1 NY

Addresses

Primary practice location

10 McKinley St Ste 15
Closter, NJ 07624-2726

Mailing address

85 Stelling Ave
Maywood, NJ 07607-2135
Phone (201) 784-1900

Other practice location 1

333 W 51st St
Basement
New York, NY 10019-6401
Phone (212) 749-0802

Other practice location 2

140 N Rte 17 Ste 103
Paramus, NJ 07652-2809
Phone (201) 784-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041019000381 NJ Practitioner - Podiatry 7810957388 Reassigns benefits to 1 organization
I20080328000048 NY Practitioner - Podiatry 7810957388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 McKinley St
Suite 15
Closter, NJ 07624-2726
Phone (201) 784-1900

269 N Main St
New City, NY 10956-4056
Phone (201) 784-1900

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions12
Removal of nail tissue6824
Removal or shaving of skin growth1979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
MD002517NJMDPodiatrist
N005487-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Podiatric Association LLC Podiatrist Past Accepting new patients
St. Vincent's Midtown Hospital Past Accepting new patients

Organizations & group practices 4

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1700872397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 STELLING AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076072135",
            "telephone_number": "201-784-1900",
            "fax_number": "201-784-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCKINLEY ST STE 15",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242726",
            "telephone_number": "201-784-1900",
            "fax_number": "201-784-8785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W 51st St",
            "address_2": "Basement",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100196401",
            "country_code": "US",
            "telephone_number": "212-749-0802",
            "fax_number": "201-586-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 N Rte 17 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522809",
            "country_code": "US",
            "telephone_number": "201-784-1900",
            "fax_number": "201-784-8785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONGO",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002517",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005487-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Closter, NJ

Sources for this page

Verify at the official NPI Registry.