Individual provider Active NPI

Emma Otieno, DPM

  • Podiatrist
  • New York, NY
National Provider Identifier
1730716119
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N007235 Issued in NY
Practice address
208 E 116TH St
New York, NY 10029-1451
Phone
(646) 441-0294
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01157 CT
Podiatrist 213E00000X N007235 NY Primary

Addresses

Primary practice location

208 E 116TH St
New York, NY 10029-1451

Mailing address

208 E 116TH St FRNT a
New York, NY 10029-1451
Phone (646) 441-0294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20230630002455 NY Practitioner - Podiatry 3072972595 Reassigns benefits to 10 organizations
I20230906001190 CT Practitioner - Podiatry 3072972595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Forward Podiatry PCGroup PAC ID 3971995697, 29 clinicians
Community Inclusion, IncGroup PAC ID 9133564560, 3 clinicians

Practice addresses (Care Compare)

456 Glenbrook Rd
Suite a
Stamford, CT 06906-1800
Phone (646) 921-0907

890 E 2ND St
Jamestown, NY 14701-2528
Phone (716) 661-1447

918 James St
Syracuse, NY 13203-2503
Phone (646) 921-0907

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue851
Removal or shaving of skin growth64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01157CTMDPodiatrist
N007235NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Inclusion Inc CurrentSince Apr 15, 2025 Accepting new patients
Rite Medical PLLC CurrentSince Feb 28, 2025 Accepting new patients
Essen Medical Associates,PC CurrentSince Jul 26, 2024 Accepting new patients
Cesare Gaspari DPM PLLC Podiatrist CurrentSince Nov 30, 2025 Accepting new patients
Simpli Podiatry PLLC Podiatrist CurrentSince May 8, 2023 Accepting new patients
Foot Forward Podiatry PC Podiatrist CurrentSince Dec 13, 2025 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Cesare Gaspari DPM PLLC CurrentSince Nov 30, 2025 Accepting new patients
Essen Medical Associates, PC Podiatrist CurrentSince Jul 26, 2024 Accepting new patients
House Call Medical Services of New York, PLLC Podiatrist CurrentSince Jul 26, 2024 Accepting new patients
Infinite Medical PC CurrentSince Jan 3, 2026 Accepting new patients
Connecticut Podiatry Partners, PLLC Podiatrist CurrentSince May 6, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Jul 27, 2024 Accepting new patients
SG Medical Professional PC CurrentSince Mar 3, 2026 Accepting new patients
Pedirite Medical CT PLLC CurrentSince Jan 5, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jul 26, 2024 Accepting new patients
Foot Forward Podiatry, LLC Past Accepting new patients

Locations

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

456 Glenbrook Rd
Ste A
Stamford, CT 06906

850 N Main Street Ext
Ste 2A2
Wallingford, CT 06492
Phone (203) 314-9493

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

890 E 2nd St
Jamestown, NY 14701
Phone (716) 661-1447

208 E 116th St
Frnt A
New York, NY 10029

21 Ferncliff Dr
Rhinebeck, NY 12572
Phone (845) 516-1663

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

5316 Roosevelt Ave
Ste 2
Woodside, NY 11377
Phone (212) 684-1900

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIJDD/Endpoint/CEIJDD
  • Direct secure messaging: emma.otieno.1@29466.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBJDD
  • Direct secure messaging: emma.otieno.1@30930.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1730716119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E 116TH ST FRNT A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291451",
            "telephone_number": "646-441-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291451",
            "telephone_number": "646-441-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTIENO",
        "first_name": "EMMA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "01157",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N007235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.