Organization Active NPI

Mount Kisco Podiatry Associates, PC

  • Foot & Ankle Surgery Podiatrist
  • Mount Kisco, NY
National Provider Identifier
1063748887
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006195 Issued in NY
Legal business name
MOUNT KISCO PODIATRY ASSOCIATES, PC
Practice address
101 S Bedford Rd Ste 214
Mount Kisco, NY 10549-3454
Phone
(914) 244-3338
NPI assigned
Oct 29, 2009
Last updated
Oct 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rachel Jubak
Title
Office Manager
Phone
(914) 244-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006195 NY Primary

Addresses

Primary practice location

101 S Bedford Rd Ste 214
Mount Kisco, NY 10549-3454

Mailing address

101 S Bedford Rd Ste 214
Mount Kisco, NY 10549-3454
Phone (914) 244-3338

National Provider Directory

National Provider Directory

Locations

101 S Bedford Rd
Ste 214
Mount Kisco, NY 10549
Phone (914) 244-3338

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1063748887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD STE 214",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493454",
            "telephone_number": "914-244-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD STE 214",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493454",
            "telephone_number": "914-244-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT KISCO PODIATRY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "JUBAK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-244-3338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.