NPIMap

Organization Active NPI

Daniel D. Mathews DPM PC

  • Foot Surgery Podiatrist
  • Elmhurst, NY
National Provider Identifier
1003937913
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
004379 Issued in NY
Legal business name
DANIEL D. MATHEWS DPM PC
Practice address
4035 95TH St
Lower Level
Elmhurst, NY 11373-6200
Phone
(718) 205-6201
Fax
(718) 205-5664
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Dr. Daniel Defazio Mathews, D.P.M
Title
President
Phone
(718) 205-6201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 004379 NY Primary

Addresses

Primary practice location

4035 95TH St
Lower Level
Elmhurst, NY 11373-6200

Mailing address

4035 95TH St
Lower Level
Elmhurst, NY 11373-6200
Phone (718) 205-6201

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1003937913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 95TH ST",
            "address_2": "LOWER LEVEL",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113736200",
            "telephone_number": "718-205-6201",
            "fax_number": "718-205-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 95TH ST",
            "address_2": "LOWER LEVEL",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113736200",
            "telephone_number": "718-205-6201",
            "fax_number": "718-205-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D. MATHEWS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DEFAZIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-205-6201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "004379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.