Organization Active NPI

Queens Corporate Foot Care, P.C.

  • Podiatric Clinic/Center
  • Queens Village, NY
National Provider Identifier
1003088238
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
N005136 Issued in NY
Legal business name
QUEENS CORPORATE FOOT CARE, P.C.
Practice address
221-10 Jamaica Ave
Suite 104
Queens Village, NY 11428-2037
Phone
(718) 776-7232
Fax
(718) 776-7418
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Melvin B Hurt, DPMNPI 1275580664
Title
Podiatric Specialist
Phone
(718) 776-7232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X N005136 NY Primary

Addresses

Primary practice location

221-10 Jamaica Ave
Suite 104
Queens Village, NY 11428-2037

Mailing address

221-10 Jamaica Ave
Suite 104
Queens Village, NY 11428-2037
Phone (718) 776-7232

Other identifiers 2

IdentifierTypeStateIssuer
016455697MedicaidNY
486204001OtherDME

National Provider Directory

National Provider Directory

Locations

22110 Jamaica Ave
Ste 104
Queens Vlg, NY 11428
Phone (718) 776-7232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1003088238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221-10 JAMAICA AVE",
            "address_2": "SUITE 104",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282037",
            "telephone_number": "718-776-7232",
            "fax_number": "718-776-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221-10 JAMAICA AVE",
            "address_2": "SUITE 104",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282037",
            "telephone_number": "718-776-7232",
            "fax_number": "718-776-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS CORPORATE FOOT CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PODIATRIC SPECIALIST",
        "authorized_official_telephone_number": "718-776-7232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "N005136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016455697",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "486204001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.