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OPTIMUM PODIATRY GROUP PLLC
NPI 1912777954
Podiatrist - Foot & Ankle Surgery in Brentwood, NY

Active since January 02, 2024
620 SUFFOLK AVE, BRENTWOOD, NY 11717(631) 968-5600 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Optimum Podiatry Group Pllc NPPES

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

OPTIMUM PODIATRY GROUP PLLC (NPI 1912777954) is a healthcare organization registered as a foot & ankle surgery in Brentwood, New York and active in the NPI registry since January 2024. The organization lists Peter Mancuso, Owner, as its authorized official.

NPPES Registry Identity

NPI1912777954
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameOPTIMUM PODIATRY GROUP PLLC
Location Address620 SUFFOLK AVEBrentwood, NY 11717-4306
Mailing Address620 Suffolk AveBrentwood, NY 11717-4306
Phone(631) 968-5600
Organization SubpartNo
Authorized OfficialPeter MancusoOwner · (631) 968-5600
Enumeration DateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1912777954 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
620 SUFFOLK AVE, Brentwood, NY 11717
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DIANNE KEEGAN PT
Physical Therapist
620 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 434-3232
DR. PETER JOHN MANCUSO DPM
Podiatrist (Foot & Ankle Surgery)
620 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 231-1401
NY FOOT & ANKLE SPECIALISTS DPM PC
Podiatrist
620 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 231-1401
NY FOOT & ANKLE SPECIALIST DPM PC
Podiatrist (Foot & Ankle Surgery)
620 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 231-1401

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 Optimum Podiatry Group PLLC's NPI number?

The NPI number for Optimum Podiatry Group PLLC is 1912777954. It was assigned to this organization in the NPPES registry on January 2, 2024.

Where is Optimum Podiatry Group PLLC located?

Optimum Podiatry Group PLLC is located at 620 Suffolk Ave, Brentwood, NY 11717. The listed phone number is (631) 968-5600.

What is Optimum Podiatry Group PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Optimum Podiatry Group PLLC was last updated on January 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.