Modern Podiatric Care P.C

Primary specialty

PodiatristTaxonomy code 213E00000X

License

005629 Issued in NY

Legal business name

MODERN PODIATRIC CARE P.C

Practice address

9204 Springfield Blvd
Queens Village, NY 11428-1857

Phone

(718) 465-3040

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Michael C. Nwakanma, DPM

Title

Physican

Phone

(718) 465-3040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Cecile Spence, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1912568551
  NPD (past)

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1023299674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 190TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123132",
            "telephone_number": "718-465-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 SPRINGFIELD BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281857",
            "telephone_number": "718-465-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PODIATRIC CARE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "NWAKANMA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "718-465-3040",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01984110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taniya Minhas
• Terry Minott-Williams
• Hasibullah Mir, PHARMD
• Russell Miravite, RN
• Edna Mitchell
• Daoud Ikhlas Mohamed, MSOT, OTR/L
• Navita Mohamed
• Sajid Mohamed, PHYSICIAN ASSISTANT
• Adam Ameer Mohammed, RPH
• Christine Mohammed

• Podiatrist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.