Active NPI
Joshua Prero, MD
- Podiatrist
- North Woodmere, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N005974
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00246075 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 4030 |
| Removal or shaving of skin growth | 659 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N005974 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Director Services PC | Current | 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 | Past | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY
-
- Foot Surgery Podiatrist
- Rockville Centre, NY
- NPI 1861668022
-
- Specialist
- Massapequa, NY
- NPI 1922009893
-
- Podiatrist
- Brooklyn, NY
- NPI 1366888497
-
- Podiatrist
- Astoria, NY
- NPI 1275826000
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.