Julian Scott Davis, DPM

Key facts

NPI

1063403673

Entity type

Individual (NPI type 1)

Primary specialty

Podiatrist 213E00000X

License

002424 (NY)

Practice address

1040 Hempstead Tpke
Suite 11
Franklin Square, NY 11010-2635

Phone

(516) 437-3689

Fax

(516) 775-1462

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nursing Home Physicians PA Internal Medicine Physician · Marathon, FL · NPI 1396769725
  Medicare reassignment Care Compare group FL
• Michael J Ball DPM PA Podiatrist · Boca Raton, FL · NPI 1720257082
  NPD (past) PODIATRIST
• Nursing Home Consultants LLC Internal Medicine Physician · Marathon, FL · NPI 1033346945
  NPD (past)

Medicare Care Compare profile

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nursing Home Physicians PA (3 clinicians)

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063403673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 HEMPSTEAD TPKE",
            "address_2": "SUITE 11",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102635",
            "telephone_number": "516-437-3689",
            "fax_number": "516-775-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 HEMPSTEAD TPKE",
            "address_2": "SUITE 11",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102635",
            "telephone_number": "516-437-3689",
            "fax_number": "516-775-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JULIAN",
        "middle_name": "SCOTT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "002424",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340499400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00401405",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

• Kristine Nicole D'Antonio
• Ellen Dabrowski
• Steven Dangelo, P.T.
• Darbys Home Health Care Service Inc.
• Gabriella Davidson, PT,DPT
• Murtaza Dawoodbhai, RPH
• Elisa F. De Junco, O.D.
• Michael Debaz, PHARM.D
• Kaitlin Deegan, PT,DPT
• Laura Delabastide

All providers in Franklin Square, NY · Podiatrist in New York