Individual provider Active NPI

Anthony Orlando, DPM

  • Foot Surgery Podiatrist
  • Rego Park, NY
National Provider Identifier
1831192582
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
4266 Issued in NY
Practice address
6741 Woodhaven Blvd
Rego Park, NY 11374-5217
Phone
(718) 459-9575
Fax
(718) 459-9548
NPI assigned
May 24, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 4266 NY Primary

Addresses

Primary practice location

6741 Woodhaven Blvd
Rego Park, NY 11374-5217

Mailing address

6741 Woodhaven Blvd
Rego Park, NY 11374-5217
Phone (718) 459-9575

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
I20101105000002 NY Practitioner - Podiatry 9739286840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4266NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Orlando, DPM PC Foot Surgery CurrentSince Dec 9, 1997 Accepting new patients
Coney Island Foot & Ankle Associates LLP PastSince Feb 22, 2007 Accepting new patients

Locations

6741 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 459-9575

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1831192582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745217",
            "telephone_number": "718-459-9575",
            "fax_number": "718-459-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745217",
            "telephone_number": "718-459-9575",
            "fax_number": "718-459-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLANDO",
        "first_name": "ANTHONY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "4266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.