Active NPI
Greater Queens Podiatry
- Podiatrist
- Flushing, NY
National Provider Identifier
1033328844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004326
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Megdanis, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01049958 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Primary Podiatric Medicine Podiatrist
- Bayside, NY
- NPI 1699851899
Primary Podiatric Medicine
-
- Podiatrist
- Brooklyn, NY
- NPI 1750317715
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
- Great Wall Dynamic Physical Therapy & Acupuncture PLLC
- Great Wall Medical PC
- Greater New York Care Inc
- Greater New York Ophthalmology Eye Care PLLC
- Greater New York Social and Health Adult Day Care
- Adrianna Marie Greaves-Vassell, RN
- Michelle Carmel Greehy, MA
- Green Family Health NP PC
- Green Trips Inc..
- Adrienne Janelle Green, MD
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.