Boltrope Podiatry Ny Pllc is a medicare enrolled "Durable Medical Equipment & Medical Supplies - Customized Equipment" provider in Nanuet, New York. Their current practice location is
25 Smith St Ste 204, Nanuet, New York. You can reach out to their office (for appointments etc.) via phone at
(845) 623-5863.
Boltrope Podiatry Ny Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Boltrope Podiatry Ny Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1629774922.
Healthcare Provider's Profile
Full Name | Boltrope Podiatry Ny Pllc |
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Type | Facility |
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Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
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Location | 25 Smith St Ste 204, Nanuet, New York |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629774922
- Provider Enumeration Date: 02/07/2023
- Last Update Date: 06/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496135329
- Enrollment ID: O20230912004127
Medical Identifiers
Medical identifiers for Boltrope Podiatry Ny Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629774922 | NPI | - | NPPES |
07680188 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Boltrope Podiatry Ny Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Boltrope Podiatry Ny Pllc 74 Pascack Rd Ste 6, Park Ridge, NJ 07656-1942 Ph: (201) 571-0214 | Boltrope Podiatry Ny Pllc 25 Smith St Ste 204, Nanuet, NY 10954-2971 Ph: (845) 623-5863 |
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