Aluko Osafo Jervis, D.P.M

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N006185-1 Issued in NY

Practice address

295 Myrtle Ave
Staten Island, NY 10310-2332

Phone

(718) 720-6866

Fax

(718) 720-6931

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Pain and Disability Institute, P.C.

  • Pain Medicine Physician
  • Jersey City, NJ
  • NPI 1306924725
  Medicare reassignment NPD
• Ambulatory Pain and Disability Management Center LLC

  • Ambulatory Surgical Clinic/Center
  • Jersey City, NJ
  • NPI 1093311276
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Richmond Medical Center

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1740389154
  Care Compare affiliation

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1982769477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MYRTLE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102332",
            "telephone_number": "718-273-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MYRTLE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102332",
            "telephone_number": "718-720-6866",
            "fax_number": "718-720-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERVIS",
        "first_name": "ALUKO",
        "middle_name": "OSAFO",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006185-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "N006185-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Jenson, MD
• Peter Edward Jerabeck, OTR
• Brianna Rene Jeremiah, PA
• Jermaine Hill LCSW Family Services PC
• Danielle Elaine Jernigan, RN
• Nalini Jervis, RN
• Raphael Chaim Jesin, M.D.
• Dalida Jeune, LPN
• Jewish Board of Families and Children'S Services
• Jewish Board of Family and Children Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.

Verify at the official NPI Registry.