OPTIMUM PODIATRY GROUP PLLC
NPI 1912777954
Podiatrist - Foot & Ankle Surgery in Brentwood, NY
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
Specialties & Licenses
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)
Optimum Podiatry Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Optimum Podiatry Group PLLC, 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 (2)
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 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.
Is Optimum Podiatry Group PLLC enrolled in Medicare?
Yes. Optimum Podiatry Group PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optimum Podiatry Group PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Optimum Podiatry Group 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. 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 Optimum Podiatry Group PLLC was last updated on January 2, 2024. 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.
# Optimum Podiatry Group Pllc · NPI 1912777954
Foot & Ankle Surgery organization in Brentwood, New York. Organization record, active in the CMS NPPES registry since January 2, 2024.
## Identity
- **NPI:** 1912777954 (Entity type: Organization)
- **Enumerated:** January 2, 2024
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Peter Mancuso, OWNER
## Practice location
- **Address:** 620 SUFFOLK AVE, Brentwood, NY 11717-4306
- **Phone:** (631) 968-5600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912777954) · Data from the CMS NPPES public registry.