Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optimum Podiatry Group PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1912777954

Optimum Podiatry Group PLLC is a Foot & Ankle Surgery Podiatrist in Brentwood, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 Suffolk Ave
Brentwood, NY 11717-4306
Phone: (631) 968-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1912777954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Mancuso — Owner · (631) 968-5600
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address620 Suffolk Ave, Brentwood, NY 11717-4306

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