Organization Active NPI

Greater Queens Podiatry

  • Podiatrist
  • Flushing, NY
National Provider Identifier
1033328844
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004326 Issued in NY
Legal business name
GREATER QUEENS PODIATRY
Practice address
4343 Kissena Blvd #110
Flushing, NY 11355-2914
Phone
(718) 463-1515
Fax
(718) 886-6414
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Nicholas Megdanis, M.D.NPI 1699851899
Title
Physician
Phone
(718) 463-1515

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N004326 NY Primary

Addresses

Primary practice location

4343 Kissena Blvd #110
Flushing, NY 11355-2914

Mailing address

4343 Kissena Blvd #110
Flushing, NY 11355-2914
Phone (718) 463-1515

Other identifiers 1

IdentifierTypeStateIssuer
01049958MedicaidNY

National Provider Directory

National Provider Directory

Locations

4343 Kissena Blvd
Ste 110
Flushing, NY 11355
Phone (718) 463-1515

Practitioners & affiliated clinicians

Practitioners 3

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1033328844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 KISSENA BLVD #110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552914",
            "telephone_number": "718-463-1515",
            "fax_number": "718-886-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 KISSENA BLVD #110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552914",
            "telephone_number": "718-463-1515",
            "fax_number": "718-886-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER QUEENS PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "MEGDANIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-463-1515",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01049958",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.