Individual provider Active NPI

Bernadette Pupilla, DPM

  • Podiatrist
  • Little Neck, NY
National Provider Identifier
1891801494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0048241 Issued in NY
Practice address
5444 Little Neck Pkwy
Little Neck, NY 11362
Phone
(718) 631-8783
Fax
(718) 428-5310
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0048241 NY Primary

Addresses

Primary practice location

5444 Little Neck Pkwy
Little Neck, NY 11362

Mailing address

5444 Little Neck Pkwy
Little Neck, NY 11362
Phone (718) 631-8783

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
I20110118001159 NY Practitioner - Podiatry 9133318405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 44 Little Neck Pkwy
Little Neck, NY 11362-2201
Phone (631) 740-9549

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue606
Removal of skin lesions1-10
Removal of nail tissue973
Removal or shaving of skin growth963
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004824NYMDMental Health Counselor
N0048241NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
LN Foot Care, P.C. Podiatrist CurrentSince Oct 17, 2010 Accepting new patients
Little Neck Podiatry, P.C. Podiatrist CurrentSince May 10, 2022 Accepting new patients
Woodhaven Medical, P.C. Past Accepting new patients
Dheeraj Khurana Cardiology PC PastSince Jun 20, 2018 Accepting new patients

Locations

5444 Little Neck Pkwy
Ste 1
Little Neck, NY 11362
Phone (718) 224-5366

5444 Little Neck Pkwy
Little Neck, NY 11362
Phone (347) 395-6424

4120 Broadway
New York, NY 10033
Phone (212) 543-1800

1865 Amsterdam Ave
New York, NY 10031
Phone (212) 491-0100

1149 Old Country Rd
Riverhead, NY 11901
Phone (631) 727-3000

1149 Old Country Rd
Ste B1
Riverhead, NY 11901
Phone (631) 369-0300

Organizations & group practices 4

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891801494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 LITTLE NECK PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-631-8783",
            "fax_number": "718-428-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5444 LITTLE NECK PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-631-8783",
            "fax_number": "718-428-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPILLA",
        "first_name": "BERNADETTE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0048241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

Verify at the official NPI Registry.