Individual provider Active NPI

Kenny Luong

  • Foot & Ankle Surgery Podiatrist
  • West Nyack, NY
National Provider Identifier
1962066076
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007267 Issued in NY
Practice address
2 Crosfield Ave
West Nyack, NY 10994-2226
Phone
(845) 358-2844
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00366800 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 007267 NY Primary

Addresses

Primary practice location

2 Crosfield Ave
West Nyack, NY 10994-2226

Mailing address

46 Continental Rd
Morris Plains, NJ 07950-3406

Other practice location 1

70 Hatfield Ln
Goshen, NY 10924-6734
Phone (845) 294-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220816002045 NY Practitioner - Podiatry 9436532918 Reassigns benefits to 1 organization
I20220829002765 NJ Practitioner - Podiatry 9436532918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerock Podiatry Associates, PCGroup PAC ID 1557253457, 5 clinicians

Practice addresses (Care Compare)

2 Crosfield Ave
Suite 302
West Nyack, NY 10994-2218

2 Crosfield Ave
Suite 302
West Nyack, NY 10994-2220
Phone (845) 358-2844

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

Merit-based Incentive Payment System (MIPS)

Final score
71.93 of 100Reported as individual
Quality
37.02
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1019
Removal of skin lesions66
Removal of nail tissue117
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00366800NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerock Podiatry Associates, PC Foot & Ankle Surgery CurrentSince Oct 1, 2022 Accepting new patients

Locations

500 N Franklin Tpke
Ramsey, NJ 07446
Phone (201) 995-9975

70 Hatfield Ln
Goshen, NY 10924
Phone (845) 294-2006

70 Hatfield Ln
Ste 202
Goshen, NY 10924
Phone (845) 291-3656

2 Crosfield Ave
Ste 302
West Nyack, NY 10994
Phone (845) 353-4344

Networks

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

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.

Hospital & facility affiliations 5

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1962066076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CONTINENTAL RD",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942226",
            "telephone_number": "845-358-2844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Hatfield Ln",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109246734",
            "country_code": "US",
            "telephone_number": "845-294-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONG",
        "first_name": "KENNY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00366800",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.