Michele Ahmadi D.P.M. L.L.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MICHELE AHMADI D.P.M. L.L.C.

Practice address

257 E Main St Ste C
Smithtown, NY 11787-2807

Phone

(631) 982-9343

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Michele Ahmadi, DPMNPI 1083021141

Title

Owner

Phone

(732) 735-7847

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Michele Ahmadi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Smithtown, NY
  • NPI 1083021141

  5597149773

  Same PAC ID

Tax ID family

Deer Park Podiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Deer Park Podiatry

  • Primary Podiatric Medicine Podiatrist
  • North Babylon, NY
  • NPI 1205472818
  NPD tax ID

Locations

Practitioners 3

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

• Michele Ahmadi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Smithtown, NY
  • NPI 1083021141

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Alison Croughan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Smithtown, NY
  • NPI 1588901961
  Medicare reassignment Care Compare group NPD
• Cheyenne Rose Raimondi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Smithtown, NY
  • NPI 1285378604
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1033797386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ELWOOD RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683416",
            "telephone_number": "732-735-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 E MAIN ST STE C",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872807",
            "telephone_number": "631-982-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE AHMADI D.P.M. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "AHMADI",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-735-7847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andreas Costas Michaelides, PH.D.
• Maria A. Michalski, O.D.
• Cristina Michelcic, SPECIAL ED TEACHER
• Michelle Eckhoff, Marriage and Family Therapist, PLLC
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• Miguel Vargas MD PC

• Foot & Ankle Surgery Podiatrist in Smithtown, NY
• Providers in Smithtown, 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 Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.