Staten Island Podiatry, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

STATEN ISLAND PODIATRY, P.C.

Practice address

364 Edison St
Staten Island, NY 10306-3041

Phone

(718) 524-4112

Fax

(718) 524-4189

NPI assigned

Feb 7, 2007

Organization subpart

Yes

Parent organization

STATEN ISLAND PODIATRY, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Susheel Bathla, M.DNPI 1871596387

Title

President

Phone

(917) 826-5709

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Part of

Staten Island Podiatry PC

Locations

Practitioners 8

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

• Susheel Bathla, DPM

  • Primary Podiatric Medicine Podiatrist
  • Staten Island, NY
  • NPI 1871596387
  Medicare reassignment Care Compare group Authorized official
• Gary Bartholomew Gugliada, DPM

  • Foot Surgery Podiatrist
  • Staten Island, NY
  • NPI 1184699795
  Medicare reassignment Care Compare group NPD
• Robert A Miele, DPM

  • Primary Podiatric Medicine Podiatrist
  • Staten Island, NY
  • NPI 1922172733
  Medicare reassignment NPD
• Barbara H Ayers, M.D

  • Podiatrist
  • Brooklyn, NY
  • NPI 1689612566
  NPD (past)
• Maryellen Romano, M.D.

  • Gynecology Physician
  • Staten Island, NY
  • NPI 1164531182
  NPD (past)
• Michael Richard Liebow, DPM

  • Podiatrist
  • Bethesda, MD
  • NPI 1801830484
  NPD (past)
• Eric Rockmore, D P M

  • Foot & Ankle Surgery Podiatrist
  • Trenton, NJ
  • NPI 1841256922
  NPD (past)
• Mark Tirone, DPM

  • Podiatrist
  • Collingswood, NJ
  • NPI 1003862970
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1942340948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 EDISON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063041",
            "telephone_number": "718-524-4112",
            "fax_number": "718-524-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 EDISON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063041",
            "telephone_number": "718-524-4112",
            "fax_number": "718-524-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND PODIATRY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATEN ISLAND PODIATRY, P.C.",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "BATHLA",
        "authorized_official_first_name": "SUSHEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-826-5709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.