Active NPI
Emma Otieno, DPM
- Podiatrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N007235
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 851 |
| Removal or shaving of skin growth | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01157 | CT | MD | Podiatrist |
| N007235 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Inclusion Inc | Current | Accepting new patients | |
| Rite Medical PLLC | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Cesare Gaspari DPM PLLC | Podiatrist | Current | Accepting new patients |
| Simpli Podiatry PLLC | Podiatrist | Current | Accepting new patients |
| Foot Forward Podiatry PC | Podiatrist | Current | Accepting new patients |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Cesare Gaspari DPM PLLC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Podiatrist | Current | Accepting new patients |
| House Call Medical Services of New York, PLLC | Podiatrist | Current | Accepting new patients |
| Infinite Medical PC | Current | Accepting new patients | |
| Connecticut Podiatry Partners, PLLC | Podiatrist | Current | Accepting new patients |
| Shakespeare Operating LLC | Current | Accepting new patients | |
| SG Medical Professional PC | Current | Accepting new patients | |
| Pedirite Medical CT PLLC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | 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
- https://fhir4.healow.com/fhir/r4/CEIJDD/Endpoint/CEIJDD
- emma.otieno.1@29466.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/AEBJDD
- 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.
-
dba TRC Community Health Center
- Multi-Specialty Clinic/Center
- Jamestown, NY
- NPI 1699549287
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
dba Podo Care Foot and Ankle
- Primary Podiatric Medicine Podiatrist
- New York, NY
- NPI 1326555152
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
Podiatrist
-
- General Practice Physician
- Rhinebeck, NY
- NPI 1114536034
-
dba Bronx Treatment Center
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1720634538
-
- Podiatrist
- New York, NY
- NPI 1689399149
-
dba Partners in Long Term Care
- Podiatrist
- Wallingford, CT
- NPI 1427686815
-
- General Practice Physician
- New Britain, CT
- NPI 1316557309
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.