MONROE PODIATRY GROUP (NPI# 1023189842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023189842 |
| Entity Type | Organization |
| Organization Name | MONROE PODIATRY GROUP |
| Practice Address |
45 North Ave Webster NY 14580-3054 |
| Practice Telephone | 5858726520 |
| Practice Fax Number | 5858726357 |
| Mailing Telephone | 5858726520 |
| Mailing Fax Number | 5858726357 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-07-01 |
| Authorized Official Name | MR. RAYMOND DIVASTO (OWNER) |
| Authorized Official Telephone | 5858726520 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
========= | NY | Podiatric Medicine & Surgery Service Providers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EXCELLUS BLUECROSS | G0188302590 | 01 |
| Street Address |
45 NORTH AVE |
| City | WEBSTER |
| State | NY |
| Zip Code | 14580-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407819337 | Alice L Kamil | Internal Medicine | 45 North Ave, Webster, NY 14580 | 2006-04-11 |
| 1780707604 | David Michael Miraglia | Dentist | 45 North Ave, Webster, NY 14580-3054 | 2007-04-07 |
| 1679598874 | Anthony L Orsini | Podiatrist | 45 North Ave, Webster, NY 14580-3054 | 2006-07-12 |
| 1477511558 | Maurice A Palucci | Podiatrist | 45 North Ave, Webster, NY 14580-3054 | 2006-05-01 |
| 1649237892 | Suzanne M. Hefferan | Podiatrist | 45 North Ave, Webster, NY 14580-3054 | 2006-04-28 |
| 1699731646 | John W Seaford | Internal Medicine | 45 North Ave, Webster, NY 14580 | 2006-04-26 |
| 1588629653 | Raymond Divasto | Podiatrist | 45 North Ave, Webster, NY 14580-3054 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755069 | John Denaro Iv | Hearing Instrument Specialist | 1900 Empire Boulevard, Miracle Ear, Webster, NY 14580 | 2020-03-23 |
| 1740813161 | National Vision Inc | Optometrist | 927 Hold Road, Suite 300, Webster, NY 14580 | 2020-02-13 |
| 1447808738 | Neva French | Technician | 1640 Lake Road, Webster, NY 14580 | 2019-08-29 |
| 1699329946 | Jillian Schifano Sweeney | Registered Nurse | 119 South Ave, Wcsd, Webster, NY 14580 | 2019-07-25 |
| 1699232355 | Kw Health System, Inc. | Clinic/Center | 53 Salori Court, Temporary Location, Webster, NY 14580 | 2019-02-28 |
| 1174090393 | Brent William Fairchild | Physician Assistant | 1081 Bright Stream Way, Webster, NY 14580 | 2018-10-25 |
| 1114435500 | Vanisha Mcbean | Licensed Practical Nurse | 164 Country Manor Way Apt 22, Webster, NY 14580 | 2018-01-19 |
| 1235658204 | Amarilis Perez | Licensed Practical Nurse | 15 Huntsman Way, Webster, NY 14580 | 2017-09-11 |
| 1710425178 | Michelle Malle Michlin | Licensed Practical Nurse | 1095 Fawnwood Drive, Webster, NY 14580 | 2017-02-06 |
| 1851743900 | Linda A Harris | Social Worker | 63 Daytona Ave, Webster, NY 14580 | 2016-07-12 |
| Find all providers in zip 14580 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124346143 | Home Health Supply & Equipment | Durable Medical Equipment & Medical Supplies | 517 Barrington Ln, Unite Hb, Webster, TX 77598 | 2010-05-14 |
| 1861722860 | Onestop Medical Supplies | Durable Medical Equipment & Medical Supplies | 350 Texas Ave, Suite B, Webster, TX 77598-4959 | 2010-01-13 |
| 1801040589 | Hanger Prosthetics & Orthotics Inc. | Durable Medical Equipment & Medical Supplies | 17490 Highway 3 Ste 100a, Webster, TX 77598-4160 | 2008-11-07 |
| 1023273281 | 1st Choice Health Care Supplies, LLC | Durable Medical Equipment & Medical Supplies | 18 Southwick Dr, Webster, NY 14580-3435 | 2008-07-26 |
| 1689855520 | Lymphedema Products & Services, Inc. | Durable Medical Equipment & Medical Supplies | 16856 Highway 3, Webster, TX 77598-2112 | 2007-11-20 |
| 1942491055 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1125 Ridge Rd., Webster, NY 14580-2909 | 2007-08-05 |
| 1477676856 | Crystal Clear Systems | Durable Medical Equipment & Medical Supplies | 3118 Fm 528 Rd Pmb 225, Webster, TX 77598-4507 | 2007-04-09 |
| 1689796054 | Lakeside Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 16650 St. Hwy 3, A-81, Webster, TX 77598 | 2007-04-04 |
| 1881762102 | American Medical Products | Durable Medical Equipment & Medical Supplies | 857 Tristar Dr Suite A, Webster, TX 77598-1552 | 2006-12-04 |
| 1164592028 | Houston Prn Medical Supplies | Durable Medical Equipment & Medical Supplies | 17324a Hwy 3, Webster, TX 77598-4133 | 2006-11-08 |
| Find all providers in WEBSTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.