Organization Active NPI

Footcare Associates of Rego Park PC

  • Primary Podiatric Medicine Podiatrist
  • Rego Park, NY
National Provider Identifier
1063509537
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0003536 Issued in NY
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

Updated by the provider on Jun 6, 2011

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)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CM4431OtherNYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.