NY FOOT & ANKLE SPECIALIST DPM PC
NPI 1851472419
Podiatrist - Foot & Ankle Surgery in Brentwood, NY

Q: What is Ny Foot & Ankle Specialist Dpm PC's NPI number?

The NPI number for Ny Foot & Ankle Specialist Dpm PC is 1851472419. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider was formerly known as Ny Foot & Ankle Specialists.

Q: What is Ny Foot & Ankle Specialist Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since October 18, 2006

620 SUFFOLK AVE, BRENTWOOD, NY 11717(631) 231-1401(631) 273-0125 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2017, Nov 9, 2016 (2 updates tracked since 2016).

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About Ny Foot & Ankle Specialist Dpm Pc NPPES

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

NY FOOT & ANKLE SPECIALIST DPM PC (NPI 1851472419), doing business as Ny Foot & Ankle Specialists, is a healthcare organization registered as a foot & ankle surgery in Brentwood, New York and active in the NPI registry since October 2006. The organization lists Peter J Mancuso, Owner, as its authorized official.

NPPES Registry Identity

NPI1851472419

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameNY FOOT & ANKLE SPECIALIST DPM PC

Location Address620 SUFFOLK AVEBrentwood, NY 11717

Mailing Address620 Suffolk AveBrentwood, NY 11717-4306 · (631) 231-1401 · Fax (631) 273-0125

Phone(631) 231-1401

Fax(631) 273-0125

Organization SubpartNo

Authorized OfficialPeter J MancusoOwner · (631) 231-1401

Enumeration DateOctober 18, 2006

Last NPPES UpdateJune 7, 20182 updates tracked since enumeration

✔ NPI 1851472419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NY · N005635

620 SUFFOLK AVE, Brentwood, NY 11717

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Other Names 1

Former Legal Business NameNy Foot & Ankle Specialists

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ny Foot & Ankle Specialist Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ny Foot & Ankle Specialist DPM PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Peter Mancuso, DPM

Podiatry

NPI 1558339200

620 SUFFOLK AVE
Brentwood, NY 11717

(631) 231-1401

✔ PECOS✔ Accepts MedicareSame address

Kevin Shim, DPM

Podiatry

NPI 1184116584

1810 UNION BLVD
Bay Shore, NY 11706

(631) 968-5600

✔ PECOS✔ Accepts Medicare3.7 mi

Robert Stuke

Podiatry

NPI 1366947806

4433 VESTAL PKWY
Vestal, NY 13850

(607) 772-8772

✔ PECOS✔ Accepts Medicare168 mi

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 Ny Foot & Ankle Specialist Dpm PC's NPI number?

The NPI number for Ny Foot & Ankle Specialist Dpm PC is 1851472419. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider was formerly known as Ny Foot & Ankle Specialists.

Where is Ny Foot & Ankle Specialist Dpm PC located?

Ny Foot & Ankle Specialist Dpm PC is located at 620 Suffolk Ave, Brentwood, NY 11717. The listed phone number is (631) 231-1401.

What is Ny Foot & Ankle Specialist Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ny Foot & Ankle Specialist Dpm PC enrolled in Medicare?

Yes. Ny Foot & Ankle Specialist Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ny Foot & Ankle Specialist Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Ny Foot & Ankle Specialist 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ny Foot & Ankle Specialist Dpm PC was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.