Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JEFFREY THOMAS KNEMOLLER DPM
NPI 1710018007
Podiatrist - Primary Podiatric Medicine in Staten Island, NY

Active since March 08, 2007PECOS Enrolled
38 BENT ST, STATEN ISLAND, NY 10312(732) 690-5634(732) 873-9114 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, Jul 25, 2024, Nov 19, 2020 and 1 more (4 updates tracked since 2018).

  • Individual
  • Male
  • Podiatrist
  • Primary Podiatric Medicine
  • PECOS Enrolled

About JEFFREY KNEMOLLER

This page provides the complete NPI Profile along with additional information for Jeffrey Knemoller, a provider established in Staten Island, New York with a medical specialization in Podiatrist, focusing in primary podiatric medicine . The healthcare provider is registered in the NPI registry with number 1710018007 assigned on March 2007. The practitioner's primary taxonomy code is 213EP1101X with license number N005784-01 (NY). The provider is registered as an individual and his NPI record was last updated July 2026.

NPI
1710018007 Verify this NPI
Provider Name
JEFFREY THOMAS KNEMOLLER DPM
Gender
Male
Entity Type
Individual
Location Address
38 BENT ST STATEN ISLAND, NY 10312
Location Phone
(732) 690-5634
Location Fax
(732) 873-9114
Mailing Address
38 BENT ST STATEN ISLAND, NY 10312
Mailing Phone
(732) 690-5634
Mailing Fax
(732) 873-9114
Is Sole Proprietor?
No
Enumeration Date
03-08-2007
Last Update Date
07-13-2026
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A podiatrist like Jeffrey Knemoller provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Primary Podiatric Medicine

Taxonomy Code
213EP1101X
Type
Podiatric Medicine & Surgery Service Providers
License No.
N005784-01
License State
NY

Medicare Participation & PECOS Enrollment Status

Jeffrey Knemoller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JEFFREY THOMAS KNEMOLLER DPM

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710018007, enumerated as an "individual" on March 08, 2007.

The provider is located at 38 BENT ST STATEN ISLAND, NY 10312 and the phone number is (732) 690-5634.

Podiatrist with taxonomy code 213EP1101X and a focus in Primary Podiatric Medicine.