Individual provider Active NPI

Laura Jeanne Piluso-Willson, DPM

  • Podiatrist
  • Monticello, NY
National Provider Identifier
1790843902
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005448 Issued in NY
Practice address
427 Broadway Ste 2
Monticello, NY 12701-1743
Phone
(845) 692-3668
NPI assigned
Dec 4, 2006
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005448 NY Primary
Primary Podiatric Medicine Podiatrist 213EP1101X N005448 NY

Addresses

Primary practice location

427 Broadway Ste 2
Monticello, NY 12701-1743

Mailing address

427 Broadway Ste 2
Monticello, NY 12701-1743
Phone (845) 692-3668

Other identifiers 2

IdentifierTypeStateIssuer
1952362865MedicaidNY
01909035MedicaidNY

Other names 1

  • Dr. Laura Jeanne Piluso Former name

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
I20050304000413 NY Practitioner - Podiatry 0143274993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Nysarc Inc Sullivan County ChapterGroup PAC ID 2668473729, 21 clinicians
Family Footcare Group, LLPGroup PAC ID 9032018866, 7 clinicians
The Center for Discovery IncGroup PAC ID 1557250933, 22 clinicians

Practice addresses (Care Compare)

162 E Broadway
Monticello, NY 12701-8815
Phone (845) 796-1350

427 Broadway
Suite 2
Monticello, NY 12701-1743
Phone (845) 794-7741

606 Old Route 17
Monticello, NY 12701-7013
Phone (845) 707-8400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions1-10
Removal of nail tissue1766
Removal or shaving of skin growth214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005448NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Footcare Group, LLP Podiatrist CurrentSince Dec 27, 2024 Accepting new patients
Family Footcare Group, LLP CurrentSince Dec 27, 2024 Accepting new patients
Nysarc Inc Sullivan County Chapter CurrentSince Aug 12, 2025 Accepting new patients
Ira Bernstein Podiatrist Past Accepting new patients
Family Footcare Group LLP Past Accepting new patients

Locations

8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800

1987 Route 52
Ste 7
Liberty, NY 12754
Phone (845) 292-5200

390 Crystal Run Rd
Ste 110
Middletown, NY 10941
Phone (845) 692-3668

400 State Route 17M
Ste 17
Monroe, NY 10950
Phone (845) 492-8637

162 E Broadway
Monticello, NY 12701
Phone (845) 796-1350

427 Broadway
Ste 2
Monticello, NY 12701
Phone (845) 794-7741

156 Pike St
Port Jervis, NY 12771
Phone (845) 794-7741

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1790843902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 BROADWAY STE 2",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011743",
            "telephone_number": "845-692-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BROADWAY STE 2",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011743",
            "telephone_number": "845-692-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILUSO-WILLSON",
        "first_name": "LAURA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005448",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N005448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952362865",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01909035",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "PILUSO",
            "middle_name": "JEANNE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.