Individual provider Active NPI

Michael F Wooster, DPM

  • Podiatrist
  • Medford, NY
National Provider Identifier
1720058522
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004520 Issued in NY
Practice address
700-6 Patchogue Yaphank Rd
Medford, NY 11763
Phone
(631) 345-5280
Fax
(631) 775-1429
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004520 NY Primary

Addresses

Primary practice location

700-6 Patchogue Yaphank Rd
Medford, NY 11763

Mailing address

700-6 Patchogue Yaphank Rd
Medford, NY 11763
Phone (631) 345-5280

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
I20071129000690 NY Practitioner - Podiatry 1254420169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 Patchogue Yaphank Rd
Medford, NY 11763-2212
Phone (631) 345-5280

826 Main St
Farmingdale, NY 11735-4152
Phone (516) 420-1832

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue137
Removal of skin lesions202
Removal of nail tissue85
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004520NYMDPodiatrist
004520NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michael Wooster, DPM PC CurrentSince Apr 30, 2003 Accepting new patients
Dr. Michael Wooster, DPM PC CurrentSince Oct 19, 2007 Accepting new patients

Locations

826 Main St
Farmingdale, NY 11735
Phone (516) 420-1832

700 Patchogue Yaphank Rd
Ste 6
Medford, NY 11763
Phone (631) 345-5280

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mwooster504586@nyumc.direct-ci.com

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1720058522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700-6 PATCHOGUE YAPHANK RD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "11763",
            "telephone_number": "631-345-5280",
            "fax_number": "631-775-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700-6 PATCHOGUE YAPHANK RD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "11763",
            "telephone_number": "631-345-5280",
            "fax_number": "631-775-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOSTER",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

Verify at the official NPI Registry.