Individual provider Active NPI

Alexandra Larocca, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Islip, NY
National Provider Identifier
1881009629
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006843-1 Issued in NY
Practice address
1111 Montauk Hwy
West Islip, NY 11795-4910
Phone
(631) 422-4450
NPI assigned
Jun 30, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006843-1 NY Primary

Addresses

Primary practice location

1111 Montauk Hwy
West Islip, NY 11795-4910

Mailing address

1111 Montauk Hwy Ste 100
West Islip, NY 11795-4910
Phone (631) 422-4450

Other identifiers 1

IdentifierTypeStateIssuer
A400171620OtherPTAN

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
I20170519001221 NY Practitioner - Podiatry 9739456807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Foot and AnkleGroup PAC ID 4587841119, 9 clinicians

Practice addresses (Care Compare)

1111 Montack Hwy
West Islip, NY 11795-4910
Phone (631) 422-4450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue246
Removal of skin lesions1-10
Removal of nail tissue1654
Removal or shaving of skin growth946
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006843-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Foot and Ankle Foot & Ankle Surgery CurrentSince Jul 1, 2017 Accepting new patients
Island Foot and Ankle Foot & Ankle Surgery CurrentSince Jul 1, 2017 Accepting new patients
Larocca Podiatry PLLC Current Accepting new patients

Locations

207 Broadway
Amityville, NY 11701
Phone (631) 264-1910

1399 Franklin Ave
Ste 304
Garden City, NY 11530
Phone (516) 248-9680

952 Roanoke Ave
Riverhead, NY 11901
Phone (631) 422-4450

30 Hempstead Ave
Rockville Ctr, NY 11570
Phone (516) 764-6161

6144 Route 25A
Ste 14
Wading River, NY 11792
Phone (631) 707-8771

1111 Montauk Hwy
West Islip, NY 11795
Phone (631) 422-2700

1111 Montauk Hwy
Ste 100
West Islip, NY 11795
Phone (631) 376-4163

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881009629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MONTAUK HWY STE 100",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954910",
            "telephone_number": "631-422-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954910",
            "telephone_number": "631-422-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCCA",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006843-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A400171620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.