Individual provider Active NPI

Vito La Puma, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1790018059
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006338 Issued in NY
Practice address
111 John St Ste 1450
New York, NY 10038-3122
Phone
(212) 791-5700
Fax
(786) 524-1137
NPI assigned
Sep 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006338 NY Primary

Addresses

Primary practice location

111 John St Ste 1450
New York, NY 10038-3122

Mailing address

9103 153Rd Avenue
Howard Beach, NY 11414-1603
Phone (718) 757-9361

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
I20091030000007 NY Practitioner - Podiatry 5294872834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6094 Putnam Ave
Ridgewood, NY 11385-4555
Phone (718) 386-5100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue449
Removal or shaving of skin growth396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. CurrentSince Oct 1, 2015 Accepting new patients
Fresh Pond Podiatry PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2024 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Emusc, LLC CurrentSince Jan 24, 2018 Accepting new patients
New York Podiatry Suite Foot & Ankle Surgery Current Accepting new patients
Lafayette Medical Office, PC Past Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1545 Atlantic Ave
#108
Brooklyn, NY 11213
Phone (347) 404-6508

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

111 John St
Ste 1450
New York, NY 10038
Phone (212) 791-5700

6094 Putnam Ave
Ridgewood, NY 11385
Phone (718) 365-6363

Interoperability endpoints

  • Direct secure messaging: vlapuma8315@prd.direct.tbh.org

Organizations & group practices 6

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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1790018059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 153RD AVENUE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141603",
            "telephone_number": "718-757-9361",
            "fax_number": "786-524-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JOHN ST STE 1450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383122",
            "telephone_number": "212-791-5700",
            "fax_number": "786-524-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA PUMA",
        "first_name": "VITO",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.