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STATEN ISLAND PODIATRY, P.C.
NPI 1942340948
Podiatrist in Staten Island, NY

Active since February 07, 2007
364 EDISON ST, STATEN ISLAND, NY 10306(718) 524-4112(718) 524-4189 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Staten Island Podiatry, P.c. NPPES

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

STATEN ISLAND PODIATRY, P.C. (NPI 1942340948) is a healthcare organization registered as a podiatrist in Staten Island, New York and active in the NPI registry since February 2007. The organization lists Susheel Bathla, President, as its authorized official.

NPPES Registry Identity

NPI1942340948
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSTATEN ISLAND PODIATRY, P.C.
Location Address364 EDISON STStaten Island, NY 10306-3041
Mailing Address364 Edison StStaten Island, NY 10306-3041 · (718) 524-4112 · Fax (718) 524-4189
Phone(718) 524-4112
Fax(718) 524-4189
Organization SubpartYes
Authorized OfficialSusheel BathlaPresident · (917) 826-5709
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJanuary 5, 2010
✔ NPI 1942340948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
364 EDISON ST, Staten Island, NY 10306
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Other Identifiers 1

Medicare NSC6287710001NY

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)

Staten Island Podiatry, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Staten Island Podiatry, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Susheel Bathla, DPM
Podiatry
NPI 1871596387
364 EDISON ST
Staten Island, NY 10306
(718) 524-4112
✔ PECOS✔ Accepts MedicareSame address
Robert Miele, DPM
Podiatry
NPI 1922172733
364 EDISON ST
Staten Island, NY 10306
(718) 524-4112
✔ PECOSSame address
Gary Gugliada, DPM
Podiatry
NPI 1184699795
89 CROMWELL AVE
Staten Island, NY 10304
(718) 980-0126
✔ PECOS✔ Accepts Medicare1.5 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 Staten Island Podiatry, P.C.'s NPI number?

The NPI number for Staten Island Podiatry, P.C. is 1942340948. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Staten Island Podiatry, P.C. located?

Staten Island Podiatry, P.C. is located at 364 Edison St, Staten Island, NY 10306. The listed phone number is (718) 524-4112.

What is Staten Island Podiatry, P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Staten Island Podiatry, P.C. enrolled in Medicare?

Yes. Staten Island Podiatry, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Staten Island Podiatry, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Staten Island Podiatry, P.C.. 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, 2 practice at this address and 3 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 Staten Island Podiatry, P.C. was last updated on January 5, 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.