Elite Foot Care Nynj

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00321600 Issued in NJ

Legal business name

ELITE FOOT CARE NYNJ

Practice address

75 Wall St
Suite 19G
New York, NY 10005-2833

Phone

(718) 218-4075

NPI assigned

Dec 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Genkin, DPM

Title

President

Phone

(718) 218-4075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1023406196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GRANT AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079362950",
            "telephone_number": "718-218-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WALL ST",
            "address_2": "SUITE 19G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052833",
            "telephone_number": "718-218-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FOOT CARE NYNJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "GENKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-218-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00321600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn Sadaya Elish, NP
• Jamil Ramon Elisofon
• Elite Care Physical Therapy Rehab.P.C.
• Elite Dentistry P.C.
• Elite Doulas
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• Elite Occupational Therapy PC
• Elite Plastic Surgery, PC
• Elite Skin Care Nyc
• Elite Surgical Specialists

• Foot & Ankle Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.