Individual provider Active NPI

Rosario Saccomanno, DPM

  • Podiatrist
  • Commack, NY
National Provider Identifier
1710407655
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007104 Issued in NY
Practice address
19 Harned Rd
Commack, NY 11725-3513
Phone
(631) 864-3338
Fax
(631) 864-8166
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 007104 NY Primary

Addresses

Primary practice location

19 Harned Rd
Commack, NY 11725-3513

Mailing address

19 Harned Rd
Commack, NY 11725-3513
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
I20210601001526 NY Practitioner - Podiatry 8123365160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
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
76.2 of 100Reported as group
Quality
52.4
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions1-10
Removal of nail tissue477
Removal or shaving of skin growth456
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007104NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saccomanno Podiatry PLLC Podiatrist CurrentSince Feb 1, 2021 Accepting new patients
Mayfair Foot Care PLLC Podiatrist CurrentSince Dec 13, 2024 Accepting new patients

Locations

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

35 Shore Rd
East Setauket, NY 11733
Phone (631) 689-0202

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

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

Organizations & group practices 2

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1710407655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HARNED RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253513",
            "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 RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253513",
            "telephone_number": "631-864-3338",
            "fax_number": "631-864-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCOMANNO",
        "first_name": "ROSARIO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.