Individual provider Active NPI

Albert C Esposito, D.P.M.

  • Podiatrist
  • Patchogue, NY
National Provider Identifier
1780794081
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
4079-1 Issued in NY
Practice address
31 Oak St
Suite #8
Patchogue, NY 11772-2841
Phone
(631) 475-0804
Fax
(631) 475-0806
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 4079-1 NY Primary

Addresses

Primary practice location

31 Oak St
Suite #8
Patchogue, NY 11772-2841

Mailing address

31 Oak St
Suite #8
Patchogue, NY 11772-2841
Phone (631) 475-0804

Other identifiers 1

IdentifierTypeStateIssuer
01470566MedicaidNY

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
I20100603000167 NY Practitioner - Podiatry 5092844803 Practice locations: Patchogue, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Oak St
Patchogue, NY 11772-2841
Phone (631) 475-0804

Merit-based Incentive Payment System (MIPS)

Final score
91.86 of 100Reported as individual
Quality
83.73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1001
Removal or shaving of skin growth366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4079-1NYMDPodiatrist
004079NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albert C Esposito Podiatrist CurrentSince May 6, 2010 Accepting new patients

Locations

31 Oak St
Ste 8
Patchogue, NY 11772
Phone (631) 475-0804

Networks

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

Interoperability endpoints

  • Direct secure messaging: aesposito504680@nyumc.direct-ci.com

Organizations & group practices 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1780794081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OAK ST",
            "address_2": "SUITE #8",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722841",
            "telephone_number": "631-475-0804",
            "fax_number": "631-475-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OAK ST",
            "address_2": "SUITE #8",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722841",
            "telephone_number": "631-475-0804",
            "fax_number": "631-475-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "ALBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "4079-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01470566",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.