Active NPI
Footcare Associates of Rego Park PC
- Primary Podiatric Medicine Podiatrist
- Rego Park, NY
National Provider Identifier
1063509537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 0003536
- Legal business name
- FOOTCARE ASSOCIATES OF REGO PARK PC
- Practice address
- 9424 63Rd Dr
Rego Park, NY 11374-2028 - Phone
- (718) 268-0885
- NPI assigned
- Oct 6, 2006
- 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
- Dr. Paul Barry Bernstein, DPM
- Title
- President
- Phone
- (718) 268-0885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 0003536 | NY | Primary |
Addresses
Primary practice location
9424 63Rd Dr
Rego Park, NY 11374-2028
Mailing address
9424 63Rd Dr
Rego Park, NY 11374-2028
Phone (718) 268-0885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM4431 | Other | NY | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307318400000",
"number": "1063509537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9424 63RD DR",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742028",
"telephone_number": "718-268-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9424 63RD DR",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742028",
"telephone_number": "718-268-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOTCARE ASSOCIATES OF REGO PARK PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2011-06-06",
"status": "A",
"authorized_official_last_name": "BERNSTEIN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "BARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-268-0885",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "0003536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CM4431",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.