Active NPI
James Milidantri, DPM
- Podiatrist
- Howard Beach, NY
National Provider Identifier
1760493746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003866
- Practice address
- 16305 91St St
Howard Beach, NY 11414-3725 - Phone
- (718) 845-0741
- Fax
- (718) 835-1453
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003866 | NY | Primary |
Addresses
Primary practice location
16305 91St St
Howard Beach, NY 11414-3725
Mailing address
16305 91St St
Howard Beach, NY 11414-3725
Phone (718) 845-0741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00874986 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 29 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| New York Independent Practice of Anesthesia, PC | Past | Accepting new patients | |
| Metro Oba Medical Services, PC | Past | Accepting new patients |
Locations
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
-
- Anesthesiology Physician
- New York, NY
- NPI 1306915996
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1437470945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1760493746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16305 91ST ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114143725",
"telephone_number": "718-845-0741",
"fax_number": "718-835-1453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16305 91ST ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114143725",
"telephone_number": "718-845-0741",
"fax_number": "718-835-1453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILIDANTRI",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00874986",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Howard Beach, NY
- Schandel Ann Meshman, T.S.H.H, MSED
- Jaime Messineo-Figueroa, M.S
- Rebecca M Meyer
- Michael Bernfeld D.D.S Yakov Kurilenko D.D.S P.C. (Howard Beach Dental Associates)
- Jacqulynn Miden, M.S. CCC,SLP- TSSLD
- Theresa Valentini Miller, LCSW
- Miriam Milord
- Victoria Mirzokandova
- Marc Mishan, O.D.
- Susan Mishan, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.