Active NPI
Orangetown Podiatry PC
- Podiatrist
- Orangeburg, NY
National Provider Identifier
1821323155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- ORANGETOWN PODIATRY PC
- Practice address
- 100 Dutch Hill Rd
Suite 270
Orangeburg, NY 10962-2197 - Phone
- (845) 365-3100
- Fax
- (845) 365-3253
- NPI assigned
- Oct 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Michael Conenello, DPM
- Title
- Owner
- Phone
- (845) 365-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
100 Dutch Hill Rd
Suite 270
Orangeburg, NY 10962-2197
Mailing address
100 Dutch Hill Rd
Suite 270
Orangeburg, NY 10962-2197
Phone (845) 365-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03203876 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
100 Dutch Hill Rd
Ste 270
Orangeburg, NY 10962
Phone (845) 365-3100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Mount Kisco, NY
- NPI 1386066439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299801600000",
"number": "1821323155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DUTCH HILL RD",
"address_2": "SUITE 270",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109622197",
"telephone_number": "845-365-3100",
"fax_number": "845-365-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DUTCH HILL RD",
"address_2": "SUITE 270",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109622197",
"telephone_number": "845-365-3100",
"fax_number": "845-365-3253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGETOWN PODIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-05",
"last_updated": "2011-03-11",
"status": "A",
"authorized_official_last_name": "CONENELLO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-365-3100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03203876",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.