Provider Demographics
NPI:1225106545
Name:ASARO, CARLO S (DPM)
Entity Type:Individual
Prefix:DR
First Name:CARLO
Middle Name:S
Last Name:ASARO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 RUGGIERO WAY
Mailing Address - Street 2:
Mailing Address - City:BUDD LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07828-2471
Mailing Address - Country:US
Mailing Address - Phone:718-344-9524
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1138
Practice Address - Country:US
Practice Address - Phone:718-918-6107
Practice Address - Fax:718-918-6509
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2019-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005322213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01866839Medicaid
NY01866839Medicaid
NYP78401Medicare ID - Type Unspecified