Individual provider Active NPI

Joshua Prero, MD

  • Podiatrist
  • North Woodmere, NY
National Provider Identifier
1831279769
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005974 Issued in NY
Practice address
852 Glenridge Ave
North Woodmere, NY 11581-3019
Phone
(516) 569-3425
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005974 NY Primary

Addresses

Primary practice location

852 Glenridge Ave
North Woodmere, NY 11581-3019

Mailing address

852 Glenridge Ave
North Woodmere, NY 11581-3019
Phone (516) 569-3425

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

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
I20040308000017 NY Practitioner - Podiatry 9638067127 Reassigns benefits to 3 organizations
Practice locations: Valley Stream, NY; Tarrytown, NY; Smithtown, NY; Rockville Ctr, NY; Oakdale, NY; Massapequa, NY; Little Neck, NY; Hewlett, NY…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Director Services PC 79 clinicians

Practice addresses (Care Compare)

19544 Woodhull Ave
Hollis, NY 11423-2982
Phone (718) 740-3500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue4030
Removal or shaving of skin growth659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N005974NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Mar 7, 2018 Accepting new patients
American Foot Care Center Li, PC Current Accepting new patients
Vainstein Foot and Ankle Care, PC Podiatrist Past Accepting new patients
Wayne Axman Podiatrist Past Accepting new patients
Michael Sacher DO PC PastSince Jul 1, 2004 Accepting new patients

Locations

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

19544 Woodhull Ave
Jamaica, NY 11423
Phone (718) 336-2345

70 Maple Ave
#C
Rockville Ctr, NY 11570
Phone (516) 536-3336

70 Maple Ave
Rockville Ctr, NY 11570
Phone (516) 536-3336

Organizations & group practices 7

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1831279769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 GLENRIDGE AVE",
            "city": "NORTH WOODMERE",
            "state": "NY",
            "postal_code": "115813019",
            "telephone_number": "516-569-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 GLENRIDGE AVE",
            "city": "NORTH WOODMERE",
            "state": "NY",
            "postal_code": "115813019",
            "telephone_number": "516-569-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRERO",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Woodmere, NY

Sources for this page

Verify at the official NPI Registry.