Individual provider Active NPI

Jeffrey Muroff, DPM

  • Foot Surgery Podiatrist
  • Ronkonkoma, NY
National Provider Identifier
1932199973
Registry record updated Mar 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
005902 Issued in NY
Practice address
500 Portion Rd
Suite 1
Ronkonkoma, NY 11779-4587
Phone
(631) 588-0888
Fax
(631) 588-1193
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 005902 NY Primary

Addresses

Primary practice location

500 Portion Rd
Suite 1
Ronkonkoma, NY 11779-4587

Mailing address

500 Portion Rd
Suite 1
Ronkonkoma, NY 11779-4587
Phone (631) 588-0888

Other identifiers 1

IdentifierTypeStateIssuer
02526938MedicaidNY

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
I20040630000605 NY Practitioner - Podiatry 2567449390 Practice locations: Lake Ronkonkoma, NY; Shirley, NY; Smithtown, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Portion Rd
Suite 1
Lake Ronkonkoma, NY 11779-4587
Phone (631) 588-0888

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 tissue1-10
Removal of skin lesions143
Removal of nail tissue3150
Removal or shaving of skin growth2463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005902NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Muroff DPM PC Foot Surgery CurrentSince Feb 1, 2004 Accepting new patients

Locations

500 Portion Rd
Ste 1
Ronkonkoma, NY 11779
Phone (631) 588-0888

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206748800000",
    "number": "1932199973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PORTION RD",
            "address_2": "SUITE 1",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794587",
            "telephone_number": "631-588-0888",
            "fax_number": "631-588-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PORTION RD",
            "address_2": "SUITE 1",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794587",
            "telephone_number": "631-588-0888",
            "fax_number": "631-588-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUROFF",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "005902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02526938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.