Marlyn V Milicia, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

6016-1 Issued in NY

Practice address

7905 Main Rd
Mattituck, NY 11766

Phone

(631) 244-2930

Fax

(631) 651-2794

NPI assigned

Jul 9, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marlyn V Claudio Former name

Medicare fee-for-service enrollment

Enrolled in NY, VA, DC3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Eastern Podiatry PLLC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1821227299

  NY

  Medicare reassignment NPD
• Eastern Podiatry PLLC

  • Podiatrist
  • Lynchburg, VA
  • NPI 1598421422

  VA

  Medicare reassignment NPD
• Eastern Podiatry PLLC

  • Podiatrist
  • Lynnwood, WA
  • NPI 1104692219
  NPD
• Eastern Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Washington, DC
  • NPI 1467768838
  NPD
• Caring Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Oakdale, NY
  • NPI 1710156682

  Foot & Ankle Surgery

  NPD (past)
• Oakdale Chiropractic and Acupuncture PC

  • Chiropractor
  • Oakdale, NY
  • NPI 1477827061
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1821096249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SAVANNA CIRCLE",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "11766",
            "telephone_number": "631-244-2930",
            "fax_number": "631-244-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MAIN RD",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "11766",
            "telephone_number": "631-244-2930",
            "fax_number": "631-651-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILICIA",
        "first_name": "MARLYN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-09",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "6016-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLYN",
            "last_name": "CLAUDIO",
            "middle_name": "V",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mattituck Fire District
• Susan McCabe, ANP
• Angel Riley McCarrick, LMSW
• Louis Melissari
• Thomas Robert Mercier, MD
• Lisa Moscato, LCSW
• Kerry A Murphy, MD
• Kristina Marie Niemynski, DC
• North Fork Dental Associates PC
• North Fork Integrative Strategies, Inc.

• All providers in Mattituck, NY
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.