Individual provider Active NPI

Marzena Mleczko, DPM

  • Podiatrist
  • Valley Stream, NY
National Provider Identifier
1770516437
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005940 Issued in NY
Practice address
375 N Central Ave
Valley Stream, NY 11580
Phone
(516) 825-4070
Fax
(518) 568-2318
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005940 NY Primary

Addresses

Primary practice location

375 N Central Ave
Valley Stream, NY 11580

Mailing address

375 N Central Ave
Valley Stream, NY 11580
Phone (516) 825-4070

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
I20041109000332 NY Practitioner - Podiatry 6800859083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Medical Group at North Nassau, PCGroup PAC ID 7618154550, 36 clinicians
Long Island Podiatry Group PCGroup PAC ID 9830080274, 4 clinicians

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100

375 N Central Ave
Valley Stream, NY 11580-1156
Phone (516) 825-4070

Hospital & facility affiliations

  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
84.34
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue43
Removal of skin lesions37
Removal of nail tissue925
Removal or shaving of skin growth387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005940NYMDPodiatrist
005940NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij Medical Group at North Nassau, PC CurrentSince Sep 22, 2025 Accepting new patients
Long Island Podiatry Group, P.C. Podiatrist CurrentSince Sep 13, 2004 Accepting new patients
Long Island Podiatry Group, P.C. CurrentSince Sep 13, 2004 Accepting new patients

Locations

70 Glen St
Ste 200
Glen Cove, NY 11542
Phone (516) 484-7893

1991 Marcus Ave
Ste M103
New Hyde Park, NY 11042
Phone (516) 327-0074

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

375 N Central Ave
#L
Valley Stream, NY 11580
Phone (516) 825-4070

375 N Central Ave
Valley Stream, NY 11580
Phone (516) 568-2319

Networks

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

Interoperability endpoints

  • Direct secure messaging: mmleczko@lipodiatry.mdlogic.direct-ci.com
  • Direct secure messaging: marzenamleczko@nslijmedgr.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1770516437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "516-825-4070",
            "fax_number": "518-568-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "516-825-4070",
            "fax_number": "518-568-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLECZKO",
        "first_name": "MARZENA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.