NORTHPORT PODIATRY PC
NPI 1679745103
Podiatrist - Foot & Ankle Surgery in Northport, NY
About Northport Podiatry Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHPORT PODIATRY PC (NPI 1679745103) is a healthcare organization registered as a foot & ankle surgery in Northport, New York and active in the NPI registry since March 2008. The organization lists Denise G Raio, Owner/podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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)
Northport Podiatry Pc 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 Northport Podiatry PC, 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 Northport Podiatry PC's NPI number?
The NPI number for Northport Podiatry PC is 1679745103. It was assigned to this organization in the NPPES registry on March 25, 2008.
Where is Northport Podiatry PC located?
Northport Podiatry PC is located at 1032 Fort Salonga Rd, Northport, NY 11768. The listed phone number is (631) 754-3338.
What is Northport Podiatry PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Northport Podiatry PC enrolled in Medicare?
Yes. Northport Podiatry PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northport Podiatry PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Northport Podiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northport Podiatry PC was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Northport Podiatry Pc · NPI 1679745103
Foot & Ankle Surgery organization in Northport, New York. Organization record, active in the CMS NPPES registry since March 25, 2008.
## Identity
- **NPI:** 1679745103 (Entity type: Organization)
- **Enumerated:** March 25, 2008
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Denise Raio, OWNER/PODIATRIST
## Practice location
- **Address:** 1032 FORT SALONGA RD, Northport, NY 11768-2208
- **Phone:** (631) 754-3338 · **Fax:** (631) 754-3367
## 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:** February 24, 2010
- **Other identifiers:** Medicare UPIN U57197 (NY); Other 480034015; Medicaid 01573528 (NY); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1679745103) · Data from the CMS NPPES public registry.