Shannon Roesch, DPM PC
NPI 1235296526 · Foot Surgery Podiatrist · Floral Park, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Roesch, DPM PC is a Foot Surgery Podiatrist organization in Floral Park, NY (NPI 1235296526).
Provider details
- NPI number
- 1235296526
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Shannon Roesch, Dr(516) 488-6290
- License
- N005991 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2019-12-30
- Certified
- 2019-12-30
Frequently asked questions
- What is Shannon Roesch, DPM PC's NPI number?
- Shannon Roesch, DPM PC's National Provider Identifier (NPI) is 1235296526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Roesch, DPM PC?
- Shannon Roesch, DPM PC is classified in the NPPES registry as Foot Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Shannon Roesch, DPM PC located?
- Shannon Roesch, DPM PC's practice location on file with NPPES is 242 Jericho Tpke, Floral Park, NY 11001-2147.
- What is Shannon Roesch, DPM PC's phone number?
- The practice phone number listed in the NPPES registry for Shannon Roesch, DPM PC is (516) 488-6290.
- Does Shannon Roesch, DPM PC accept Medicare?
- Shannon Roesch, DPM PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shannon Roesch, DPM PC?
- The authorized official listed on Shannon Roesch, DPM PC's NPPES record is Shannon Roesch, Dr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Roesch, DPM PC's NPI active?
- Yes — Shannon Roesch, DPM PC's NPI (1235296526) is active in the NPPES registry as of the last update on 2019-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.