Individual ProviderRichard MarottoPodiatristPodiatric Medicine & Surgery Service ProvidersPractice Address1 E Roe Blvd, Patchogue Medical Group, Patchogue, NY 11772-2631(631) 475-3900PECOS EnrollmentBased on the most recent information from CMS, provider Richard Marotto is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:59 AM.Profile DetailsProvider ID1003905688Provider TypeIndividualFull NameMarotto, RichardCredentialDPMGenderMaleSole ProprietorYesEnumeration Date10/12/2006Last Updated9/4/2020Contact InformationPractice LocationPractice Address1 E Roe Blvd, Patchogue Medical Group, Patchogue, NY 11772-2631Phone(631) 475-3900Fax(631) 475-5166Mailing LocationMailing Address1 E Roe Blvd, Patchogue Medical Group, Patchogue, NY 11772-2631Phone(631) 475-3900Fax(631) 475-5166Provider TaxonomiesCodeDescriptionLicenseCode213E00000XPrimaryDescriptionPodiatristPodiatric Medicine & Surgery Service ProvidersLicenseN005101New YorkProvider IdentifiersIDDescriptionIssuerIDA400228137DescriptionOtherIssuerMEDICAREID01453992DescriptionMedicaidIssuerUnlistedNew York