Organization Active NPI

Martha Patricia Aponte Doctor of Podiatric Medicine PC

  • Podiatrist
  • Port Jefferson Station, NY
National Provider Identifier
1760885446
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MARTHA PATRICIA APONTE DOCTOR OF PODIATRIC MEDICINE PC
Practice address
122 Clinton Ave
Port Jefferson Station, NY 11776-4441
Phone
(718) 413-6154
Fax
(631) 331-0373
NPI assigned
Oct 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Martha P Aponte, DPMNPI 1447431044
Title
Owner
Phone
(718) 413-6154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

122 Clinton Ave
Port Jefferson Station, NY 11776-4441

Mailing address

122 Clinton Ave
Port Jefferson Station, NY 11776-4441
Phone (718) 413-6154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150508000098 NY Part B Supplier - Clinic/Group Practice 4284953563 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Sinai, NY
O20170117002318 NY DME Supplier - Physician - Podiatry 4284953563 Practice locations: Mount Sinai, NY

National Provider Directory

National Provider Directory

Locations

5507 Nesconset Hwy
Ste 12
Mount Sinai, NY 11766
Phone (631) 473-6111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1760885446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CLINTON AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764441",
            "telephone_number": "718-413-6154",
            "fax_number": "631-331-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CLINTON AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764441",
            "telephone_number": "718-413-6154",
            "fax_number": "631-331-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA PATRICIA APONTE DOCTOR OF PODIATRIC MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "APONTE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-413-6154",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.