FRESH POND PODIATRY PLLC
NPI 1457129207
Podiatrist - Foot & Ankle Surgery in Ridgewood, NY
About Fresh Pond Podiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRESH POND PODIATRY PLLC (NPI 1457129207) is a healthcare organization registered as a foot & ankle surgery in Ridgewood, New York and active in the NPI registry since December 2023. The organization maintains a secondary practice location in New York and lists Vito Lapuma, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fresh Pond Podiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fresh Pond Podiatry PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Fresh Pond Podiatry PLLC's NPI number?
The NPI number for Fresh Pond Podiatry PLLC is 1457129207. It was assigned to this organization in the NPPES registry on December 12, 2023.
Where is Fresh Pond Podiatry PLLC located?
Fresh Pond Podiatry PLLC is located at 6094 Putnam Ave, Ridgewood, NY 11385. The listed phone number is (718) 386-5100.
What is Fresh Pond Podiatry PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Fresh Pond Podiatry PLLC enrolled in Medicare?
Yes. Fresh Pond Podiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fresh Pond Podiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Fresh Pond Podiatry PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fresh Pond Podiatry PLLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Fresh Pond Podiatry Pllc · NPI 1457129207
Foot & Ankle Surgery organization in Ridgewood, New York. Organization record, active in the CMS NPPES registry since December 12, 2023.
## Identity
- **NPI:** 1457129207 (Entity type: Organization)
- **Enumerated:** December 12, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Vito Lapuma, OWNER
## Practice location
- **Address:** 6094 PUTNAM AVE, Ridgewood, NY 11385-4555
- **Phone:** (718) 386-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1457129207) · Data from the CMS NPPES public registry.