Active NPI
Country Foot Care Podiatry PLLC
- Foot & Ankle Surgery Podiatrist
- Mineola, NY
National Provider Identifier
1053776096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- COUNTRY FOOT CARE PODIATRY PLLC
- Practice address
- 173 Mineola Blvd
Suite 201
Mineola, NY 11501-2528 - Phone
- (516) 741-3338
- Fax
- (516) 506-7123
- NPI assigned
- Dec 17, 2015
- 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
- Steven D Brook, DPM
- Title
- Owner
- Phone
- (516) 741-3338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
173 Mineola Blvd
Suite 201
Mineola, NY 11501-2528
Mailing address
173 Mineola Blvd
Suite 201
Mineola, NY 11501-2528
Phone (516) 741-3338
National Provider Directory
National Provider Directory- Tax ID family
- Country Foot Care Podiatry
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Podiatric Medicine Podiatrist
- Mineola, NY
- NPI 1851824544
-
- Foot & Ankle Surgery Podiatrist
- Mineola, NY
- NPI 1831562396
Locations
173 Mineola Blvd
Ste 201
Mineola, NY 11501
Phone (516) 741-3338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450310400000",
"number": "1053776096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 MINEOLA BLVD",
"address_2": "SUITE 201",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012528",
"telephone_number": "516-741-3338",
"fax_number": "516-506-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 MINEOLA BLVD",
"address_2": "SUITE 201",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012528",
"telephone_number": "516-741-3338",
"fax_number": "516-506-7123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTRY FOOT CARE PODIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A",
"authorized_official_last_name": "BROOK",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-741-3338",
"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": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.