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MARJORIE C. RAVITZ DPM PC
NPI 1093973778
Podiatrist in Smithtown, NY

Active since May 29, 2008
260 MIDDLE COUNTRY RD, SUITE 104, SMITHTOWN, NY 11787(631) 724-1166(631) 724-4130 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marjorie C. Ravitz Dpm Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARJORIE C. RAVITZ DPM PC (NPI 1093973778) is a healthcare organization registered as a podiatrist in Smithtown, New York and active in the NPI registry since May 2008. The organization lists Marjorie C Ravitz, Owner, as its authorized official.

NPPES Registry Identity

NPI1093973778
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMARJORIE C. RAVITZ DPM PC
Location Address260 MIDDLE COUNTRY RD, SUITE 104Smithtown, NY 11787-2982
Mailing Address260 Middle Country Rd, Suite 104Smithtown, NY 11787-2982 · (631) 724-1166 · Fax (631) 724-4130
Phone(631) 724-1166
Fax(631) 724-4130
Organization SubpartNo
Authorized OfficialMarjorie C RavitzOwner · (631) 724-1166
Enumeration DateMay 29, 2008
Last NPPES UpdateMay 12, 2009
✔ NPI 1093973778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · N4126
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
260 MIDDLE COUNTRY RD, Smithtown, NY 11787
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Other Identifiers 2

Medicare NSC6202090001NY
Medicare PINA100000153NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marjorie C. Ravitz Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20080826000748Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Marjorie C. Ravitz DPM PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Lisa Larocca-Hulsen, D.P.M.
Podiatry
NPI 1740373802
260 MIDDLE COUNTRY RD SUITE 104
Smithtown, NY 11787
(631) 724-1166
✔ PECOS✔ Accepts MedicareSame address
Marjorie Ravitz, DPM
Podiatry
NPI 1255421442
260 MIDDLE COUNTRY ROAD STE 104
Smithtown, NY 11787
(631) 724-1166
✔ PECOS✔ Accepts MedicareSame address
Lisa Schirripa, DPM
Podiatry
NPI 1619067899
260 MIDDLE COUNTRY RD STE 104
Smithtown, NY 11787
(631) 724-1166
✔ PECOS✔ Accepts MedicareSame address
Anthony Zizzamia, DPM
Podiatry
NPI 1801237425
260 E MIDDLE COUNTRY RD SUITE 104
Smithtown, NY 11787
(631) 724-1166
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marjorie C. Ravitz Dpm PC's NPI number?

The NPI number for Marjorie C. Ravitz Dpm PC is 1093973778. It was assigned to this organization in the NPPES registry on May 29, 2008.

Where is Marjorie C. Ravitz Dpm PC located?

Marjorie C. Ravitz Dpm PC is located at 260 Middle Country Rd Suite 104, Smithtown, NY 11787. The listed phone number is (631) 724-1166.

What is Marjorie C. Ravitz Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Marjorie C. Ravitz Dpm PC enrolled in Medicare?

Yes. Marjorie C. Ravitz Dpm PC is registered in the Medicare PECOS enrollment system.

When is Marjorie C. Ravitz Dpm PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Marjorie C. Ravitz Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Marjorie C. Ravitz Dpm PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marjorie C. Ravitz Dpm PC was last updated on May 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.