Individual provider Active NPI

Michael Alan Pliskin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Great Neck, NY
National Provider Identifier
1801891577
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N004904 Issued in NY
Practice address
75 S Middle Neck Rd
Ste LB
Great Neck, NY 11021-3486
Phone
(516) 487-8107
Fax
(516) 487-3016
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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 N004904 NY Primary

Addresses

Primary practice location

75 S Middle Neck Rd
Ste LB
Great Neck, NY 11021-3486

Mailing address

75 S Middle Neck Rd
Ste LB
Great Neck, NY 11021-3486
Phone (516) 487-8107

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
I20070425000393 NY Practitioner - Podiatry 4880799568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Michael Pliskin DPM PCGroup PAC ID 3870676174, 3 clinicians

Practice addresses (Care Compare)

1999 Marcus Ave
Suite 101
New Hyde Park, NY 11042-1033
Phone (516) 233-3601

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

75 S Middle Neck Rd
Suite LB
Great Neck, NY 11021-3445
Phone (516) 487-8107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue293
Removal of skin lesions25
Removal of nail tissue83
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004904NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Michael Pliskin DPM PC Foot & Ankle Surgery CurrentSince Jul 1, 2006 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

999 Franklin Ave
Fl 2
Garden City, NY 11530
Phone (516) 487-8107

75 S Middle Neck Rd
Great Neck, NY 11021
Phone (347) 395-9757

75 S Middle Neck Rd
Ste Lb
Great Neck, NY 11021
Phone (516) 487-8107

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

217 Mineola Blvd
Mineola, NY 11501
Phone (516) 487-8107

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: michaelpliskin@nslijmedgr.allscriptsdirect.net

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1801891577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S MIDDLE NECK RD",
            "address_2": "STE LB",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213486",
            "telephone_number": "516-487-8107",
            "fax_number": "516-487-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S MIDDLE NECK RD",
            "address_2": "STE LB",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213486",
            "telephone_number": "516-487-8107",
            "fax_number": "516-487-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISKIN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.