Optimum Podiatry Group PLLC
NPI 1912777954 · Foot & Ankle Surgery Podiatrist · Brentwood, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optimum Podiatry Group PLLC is a Foot & Ankle Surgery Podiatrist organization in Brentwood, NY (NPI 1912777954).
Provider details
- NPI number
- 1912777954
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Peter Mancuso, Owner(631) 968-5600
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
2 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
- 2024-01-02
- Last updated
- 2024-01-02
- Certified
- 2024-01-02
Frequently asked questions
- What is Optimum Podiatry Group PLLC's NPI number?
- Optimum Podiatry Group PLLC's National Provider Identifier (NPI) is 1912777954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optimum Podiatry Group PLLC?
- Optimum Podiatry Group PLLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Optimum Podiatry Group PLLC located?
- Optimum Podiatry Group PLLC's practice location on file with NPPES is 620 Suffolk Ave, Brentwood, NY 11717-4306.
- What is Optimum Podiatry Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Optimum Podiatry Group PLLC is (631) 968-5600.
- Does Optimum Podiatry Group PLLC accept Medicare?
- Optimum Podiatry Group PLLC 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 Optimum Podiatry Group PLLC?
- The authorized official listed on Optimum Podiatry Group PLLC's NPPES record is Peter Mancuso, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optimum Podiatry Group PLLC's NPI active?
- Yes — Optimum Podiatry Group PLLC's NPI (1912777954) is active in the NPPES registry as of the last update on 2024-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.