Organization Active NPI

Manheim Family Foot Care LLC

  • Podiatrist
  • Rego Park, NY
National Provider Identifier
1043531767
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0058281 Issued in NY
Legal business name
MANHEIM FAMILY FOOT CARE LLC
Practice address
6361 99TH St
Suite G1
Rego Park, NY 11374-2409
Phone
(718) 989-7100
Fax
(718) 989-7101
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Debra Manheim
Title
DPM
Phone
(718) 989-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N0058281 NY Primary

Addresses

Primary practice location

6361 99TH St
Suite G1
Rego Park, NY 11374-2409

Mailing address

6361 99TH St
Suite G1
Rego Park, NY 11374-2409
Phone (718) 989-7100

Other names 1

  • Step by Step Family Foot Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1043531767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6361 99TH ST",
            "address_2": "SUITE G1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742409",
            "telephone_number": "718-989-7100",
            "fax_number": "718-989-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6361 99TH ST",
            "address_2": "SUITE G1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742409",
            "telephone_number": "718-989-7100",
            "fax_number": "718-989-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHEIM FAMILY FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "MANHEIM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "718-989-7100"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0058281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Step by Step Family Foot Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.