Active NPI
Manheim Family Foot Care LLC
- Podiatrist
- Rego Park, NY
National Provider Identifier
1043531767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N0058281
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
National Provider Directory
National Provider DirectoryNPI 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.