Individual provider Active NPI

Matthew J. Tavroff, D.P.M.

  • Foot Surgery Podiatrist
  • Briarwood, NY
National Provider Identifier
1750389755
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005112 Issued in NY
Practice address
8475 Main St
Briarwood, NY 11435-1624
Phone
(718) 657-8921
Fax
(718) 657-9650
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005112 NY Primary

Addresses

Primary practice location

8475 Main St
Briarwood, NY 11435-1624

Mailing address

8475 Main St
Briarwood, NY 11435-1624
Phone (718) 657-8921

Other identifiers 1

IdentifierTypeStateIssuer
01584005MedicaidNY

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
I20101027000001 NY Practitioner - Podiatry 0446463426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epstein Tavroff Leon DPMS LLPGroup PAC ID 7012007438, 3 clinicians

Practice addresses (Care Compare)

515 Audubon Ave
New York, NY 10040-3403
Phone (718) 657-8921

801 Walt Whitman Rd
Melville, NY 11747-2218
Phone (631) 549-8637

84 -75 Main St
Briarwood, NY 11435-1624

8475 Main St
Briarwood, NY 11435-1624
Phone (718) 657-8921

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue621
Removal of skin lesions71
Removal of nail tissue1960
Removal or shaving of skin growth1826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005112NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Epstein Tavroff Leon DPMS LLP Foot Surgery CurrentSince Jul 1, 1999 Accepting new patients
Epstein Tavroff Leon DPMS LLP Foot Surgery Past Accepting new patients

Locations

8475 Main St
Jamaica, NY 11435
Phone (718) 657-8921

801 Walt Whitman Rd
Melville, NY 11747
Phone (516) 549-8637

515 Audubon Ave
New York, NY 10040
Phone (212) 342-9200

Networks

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

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1750389755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 MAIN ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351624",
            "telephone_number": "718-657-8921",
            "fax_number": "718-657-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8475 MAIN ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351624",
            "telephone_number": "718-657-8921",
            "fax_number": "718-657-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVROFF",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01584005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

Verify at the official NPI Registry.