Individual provider Active NPI

Jillian Irwin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Manhasset, NY
National Provider Identifier
1801329073
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N007049-01 Issued in NY
Practice address
535 Plandome Rd # 2
Manhasset, NY 11030-1974
Phone
(516) 365-5544
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 N007049-01 NY Primary

Addresses

Primary practice location

535 Plandome Rd # 2
Manhasset, NY 11030-1974

Mailing address

535 Plandome Rd # 2
Manhasset, NY 11030-1974
Phone (516) 365-5544

Other practice location 1

395 Anchor Ave
Oceanside, NY 11572-2905
Phone (516) 287-6555

Other practice location 2

175 Fulton Ave Ste 210
Hempstead, NY 11550-3702
Phone (516) 489-2261

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
I20201005001327 NY Practitioner - Podiatry 8729330188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
North Shore Podiatry, PCGroup PAC ID 3870671654, 2 clinicians

Practice addresses (Care Compare)

395 Anchor Ave
Oceanside, NY 11572-2905
Phone (516) 287-6555

535 Plandome Rd
Suite 2
Manhasset, NY 11030-1974
Phone (516) 365-5544

Hospital & facility affiliations

  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Removal of tissue105
Removal of skin lesions22
Removal of nail tissue696
Removal or shaving of skin growth274
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N007049-01NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Podiatry, PC Foot & Ankle Surgery CurrentSince Nov 8, 2022 Accepting new patients
Jillian Irwin DPM, P.C. CurrentSince Aug 20, 2020 Accepting new patients

Locations

535 Plandome Rd
Frnt 2
Plandome, NY 11030
Phone (516) 365-5544

Organizations & group practices 2

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 4

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1801329073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD # 2",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301974",
            "telephone_number": "516-365-5544",
            "fax_number": "516-365-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD # 2",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301974",
            "telephone_number": "516-365-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Anchor Ave",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115722905",
            "country_code": "US",
            "telephone_number": "516-287-6555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Fulton Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115503702",
            "country_code": "US",
            "telephone_number": "516-489-2261",
            "fax_number": "718-793-0838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "JILLIAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007049-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.