NPIMap

Organization Active NPI

Baldwin Harbor Podiatry

  • Podiatrist
  • Baldwin, NY
National Provider Identifier
1073235701
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BALDWIN HARBOR PODIATRY
Practice address
830 Atlantic Ave Ste a
Baldwin, NY 11510-4098
Phone
(516) 623-4580
Fax
(516) 623-4588
NPI assigned
Sep 19, 2022
Last updated
Sep 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Kim Berlin, DPMNPI 1568444040
Title
Owner
Phone
(516) 623-4580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary
Foot & Ankle Surgery Podiatrist 213ES0103X

Addresses

Primary practice location

830 Atlantic Ave Ste a
Baldwin, NY 11510-4098

Mailing address

830 Atlantic Ave Ste a
Baldwin, NY 11510-4098
Phone (516) 623-4580

National Provider Directory

National Provider Directory

Locations

830 Atlantic Ave
Ste A
Baldwin, NY 11510
Phone (516) 623-4580

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1073235701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 ATLANTIC AVE STE A",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104098",
            "telephone_number": "516-623-4580",
            "fax_number": "516-623-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ATLANTIC AVE STE A",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104098",
            "telephone_number": "516-623-4580",
            "fax_number": "516-623-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN HARBOR PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-623-4580",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.