Ny Foot & Ankle Specialist DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N005635 Issued in NY

Legal business name

NY FOOT & ANKLE SPECIALIST DPM PC

Practice address

620 Suffolk Ave
Brentwood, NY 11717

Phone

(631) 231-1401

Fax

(631) 273-0125

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter J Mancuso, DPMNPI 1558339200

Title

Owner

Phone

(631) 231-1401

Specialties & licenses 1

Addresses

Other names 1

• NY Foot & Ankle Specialists Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter John Mancuso, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brentwood, NY
  • NPI 1558339200
  Medicare reassignment Authorized official
• Kevin Shim, DPM

  • Foot Surgery Podiatrist
  • Bay Shore, NY
  • NPI 1184116584
  Medicare reassignment NPD
• Robert G Stuke

  • Foot & Ankle Surgery Podiatrist
  • Vestal, NY
  • NPI 1366947806

  Single Specialty

  Medicare reassignment NPD
• Shannon Maloney, D.P.M

  • Foot Surgery Podiatrist
  • Islip, NY
  • NPI 1750577276
  NPD
• Marinel Ardeljan, D.O.

  • Surgery Physician
  • Bay Shore, NY
  • NPI 1710121108
  NPD (past)
• Marc Elliott Finkelstein, M.D.

  • Specialist
  • Bay Shore, NY
  • NPI 1801892906
  NPD (past)
• Nelson Rafael Giraldo, M.D.

  • Family Medicine Physician
  • Bay Shore, NY
  • NPI 1902996093
  NPD (past)
• Khalid A Noori, M.D.

  • Internal Medicine Physician
  • North Babylon, NY
  • NPI 1023106838
  NPD (past)
• Robert David Turoff, M.D.

  • Specialist
  • Bay Shore, NY
  • NPI 1316943459
  NPD (past)
• David Jason Ellenbogen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Charlotte, NC
  • NPI 1831222090

  Primary Podiatric Medicine

  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1851472419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174306",
            "telephone_number": "631-231-1401",
            "fax_number": "631-273-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-231-1401",
            "fax_number": "631-273-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY FOOT & ANKLE SPECIALIST DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-231-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NY Foot & Ankle Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ana M Nunez
• Joanna M Nunez
• Rosemary Nunez
• Ny Chiropractic Spinal Care
• Ny Eye Care Optometry PLLC
• Ny Foot & Ankle Specialists DPM PC
• Janet Gifty Nyantakyi
• Janet O'Mara, RN
• Deborah L O'Neill, RN
• Annierose Obrien, SLP

• Foot & Ankle Surgery Podiatrist in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.

Verify at the official NPI Registry.