Active NPI
Kenny Luong
- Foot & Ankle Surgery Podiatrist
- West Nyack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 007267
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
- St Anthony Community Hospital
- Nyack Hospital
- Helen Hayes Hospital
- Garnet Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.93 of 100
- Quality
- 37.02
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1019 |
| Removal of skin lesions | 66 |
| Removal of nail tissue | 117 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00366800 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerock Podiatry Associates, PC | Foot & Ankle Surgery | Current | 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.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
-
- General Acute Care Hospital
- West Haverstraw, NY
- NPI 1063525442
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.